Massive Tibial Bone Regeneration with Autologous Peripheral Blood Stem Cells using Ilizarov Bone Transport: A Case Report
- Author:
Saw KY
1
;
Gill R
1
;
Low TC
1
Author Information
- Publication Type:Journal Article
- Keywords: massive bone loss, bone regeneration, Bone Healing index, peripheral blood stem cells, Ilizarov
- From:Malaysian Orthopaedic Journal 2020;14(No.3):166-169
- CountryMalaysia
- Language:English
- Abstract: This is a case report of a Gustilo-Anderson Type IIIB comminuted open right tibial fracture with massive bone loss, complicated by methicillin-resistant Staphylococus aureus (MRSA) infection. Non-viable and contaminated bony fragments were removed and infected bone resected. Soft tissue coverage and antibiotics were effective against the MRSA infection. A unifocal bone transport with the Ilizarov method regenerated 13cm of the missing tibia. Autologous peripheral blood stem cells (PBSC) injections into the osteogenesis site boosted bone regeneration and consolidation with a shortened Bone Healing index (BHI) of 23 days/cm.
- Full text:16.2020my1127.pdf