Lower limb salvage with autoclaved autogenous tibial diaphysis: case report
Hallock, G.G.; Sussman, D.; Rhodes, M.
Journal of Trauma 29(4): 528-530
1989
ISSN/ISBN: 0022-5282 PMID: 2709465 Document Number: 337266
A massive crush injury of the lower extremity associated with avulsion of a 30-cm segment of the diaphysis of the tibia is reported. The patient refused consideration of amputation. Therefore, in this unique case, the noncomminuted fragment was autoclaved and replaced as a nonvascularized autogenous graft. Graft-host union was observed without complication, leading to full weight-bearing ambulation with a molded orthosis within 1 year of the injury.