Bifocal Bone Transport Using Limb Reconstruction System for Large Infected Gap Non-union of Distal Femur: A Case Report
Vol 06- Issue 1 | January 2025 | page: 36-39 | Satya Ranjan Patra, Subhrajeet Dash, Saswat Samant, Suman Sourav Mishra, Amlan Dash, Abhay Tyagi
DOI: https://doi.org/10.13107/ojot.2025.v06.i01.76
Received 10/05/2024; Reviewed 09/06/2024; Accepted 27/11/2024; Published 10/01/2025
Authors: Satya Ranjan Patra [1], Subhrajeet Dash [1], Saswat Samant [1], Suman Sourav Mishra [1], Amlan Dash [1], Abhay Tyagi [1]
[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India
Address of Correspondence
Dr. Subhrajeet Dash,
Post graduate resident, Department of Orthopaedics, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
Email ID: subhrajeetdash01@gmail.com
Abstract
Background: Large infected gap nonunion (>10 cm) following failed intramedullary nailing represent a therapeutic challenge. This case demonstrates bifocal bone transport using Limb Reconstruction System (LRS) as an effective solution.
Case Presentation: A young male presented with discharging sinus and pathological fracture 6 weeks after retrograde femoral nailing. After debridement and removal of 12 cm infected sequestrum, bifocal bone transport was performed using LRS with simultaneous proximal and distal corticotomies. Infection was controlled through debridement, antibiotic therapy, and biological advantages of distraction osteogenesis. Docking nonunion was managed by dynamization (far-far pin removal with manual compression).
Results: Patient achieved complete union with restoration of function at 18 months. Knee ROM improved from 0-80° to 0-110°.Full weight-bearing was achieved by 36 weeks. No infection recurrence or major complications.
Conclusion: Bifocal bone transport with LRS is effective for large infected gap nonunion, offering infection control, biological preservation, and accelerated consolidation with superior functional outcomes.
Keywords: Bifocal bone transport, Limb Reconstruction System, Infected nonunion, Gap nonunion, Femoral shaft, Distraction osteogenesis
References
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| How to Cite this Article: Patra SR, Dash S, Samant S, Mishra SS, Dash A, Tyagi A. Bifocal Bone Transport Using Limb Reconstruction System for Large Infected Gap Non-union of Distal Femur: A Case Report. The Odisha Journal of Orthopaedics and Trauma. January 2025; 06;01:36-39. https://doi.org/10.13107/ojot.2025.v06.i01.76. |
