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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Reconstruction of massive tibial bone and soft tissue defects by trifocal bone transport combined with soft tissue distraction: experience from 31 cases

Fig. 3

a Radiograph of case no. 31 who was involved in a traffic accident resulting in right tibia open fracture and Gustilo IIIB. b-e After three previous debridement operations, there was a defect of 18.2 cm on the tibia, and the proximal and distal osteotomy was performed. The osteotomy sites were obviously shown on the X-rays. f Radiograph of transport bone segment reaching docking site 30 months after osteotomy. g Union was achieved both in docking site and elongation area 35 months post-operatively. h Soft tissue defect was closed during the process of bone transport 5.8 months after osteotomy. i-j Complete bone and soft tissue union was achieved and frame was removed 35 months after osteotomy

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