{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T19:26:44Z","timestamp":1749929204860,"version":"3.40.4"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Tibia accounts for the majority of open fractures with long segmental defects. The management of such defects imposes several challenges due to their associations with extensive soft tissue damage and high infection risk. In this report, we describe a new technique for the reconstruction of tibia in a young patient with 10\u2005cm defect. The patient had a history of Gustilo Anderson type IIIB open fracture following a motorcycle accident. He was initially managed with multiple debridements and application of an external fixator. The defect was treated with the insertion of an antibiotic-coated intramedullary nail along with posterolateral bone grafting using an absorbable mesh. Six months postoperative, radiological assessment showed excellent callus formation diffusely around the intramedullary nail along with optimal alignment. The preliminary follow-up data are quite encouraging and the technique described in our case can be considered as a reasonable option in managing long segmental bone defects.<\/jats:p>","DOI":"10.1136\/bcr-2013-010480","type":"journal-article","created":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T13:35:05Z","timestamp":1374759305000},"page":"bcr2013010480","source":"Crossref","is-referenced-by-count":4,"title":["Management of large segmental tibial defects using locking IM nail and absorbable mesh"],"prefix":"10.1136","volume":"2013","author":[{"given":"Chris","family":"Whately","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Attia","family":"Abdallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahya Ahmed","family":"Alwatari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,7,25]]},"reference":[{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.1","first-page":"142","article-title":"The management of fractures with bone loss","volume":"2013","author":"Keating","year":"2005","journal-title":"\u00a0BoneJoint J"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.2","first-page":"72","article-title":"Management of segmental tibial fractures","volume":"2013","author":"Motsitsi","year":"2006","journal-title":"East Cent Afr J Surg"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.3","first-page":"259","volume-title":"CASE REPORTS: management of large segmental tibial defects using a cylindrical mesh cage","volume":"2013","author":"Attias","year":"2006"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.4","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.ocl.2009.07.012","article-title":"Clinical use of resorbable polymeric membranes in the treatment of bone defects","volume":"2013","author":"Meinig","year":"2010","journal-title":"Orthop Clin North Am"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.5","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/00005131-200001000-00011","article-title":"The cylindrical titanium mesh cage for treatment of a long bone segmental defect: description of a new technique and report of two cases","volume":"2013","author":"Cobos","year":"2000","journal-title":"J Orthop Trauma"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.6","unstructured":"Synthes JF . Reamer\/Irrigator\/Aspirator (RIA) for intramedullary reaming and bone harvesting. [homepage on the Internet]. 2008. http:\/\/www.synthes.com\/MediaBin\/US%20DATA\/Product%20Support%20Materials\/Brochures\/SUSA\/SUBRORIAJ8968B.pdf"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.7","unstructured":"Kls Martin Group. SonicWeld Rx. [homepage on the Internet]. http:\/\/www.klsmartin.com\/fileadmin\/Inhalte\/Downloads_Prospekte\/Osteosynthese_CMF_Bio\/90-300-02-09_10_12_SonicWeld.pdf ."},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.8","doi-asserted-by":"crossref","unstructured":"Cierny G III Zorn KE . Segmental tibial defects. Comparing conventional and Ilizarov methodologies. Clin Orthop Relat Res 1994;(301):118\u201323.","DOI":"10.1097\/00003086-199404000-00019"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.9","doi-asserted-by":"crossref","unstructured":"Green SA . Skeletal defects. A comparison of bone grafting and bone transport for segmental skeletal defects. Clin Orthop Relat Res 1994;(301):111\u201317.","DOI":"10.1097\/00003086-199404000-00018"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.10","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1302\/0301-620X.82B7.0821022","article-title":"Vascularised fibular grafts. An experience of 102 patients","volume":"2013","author":"Minami","year":"2000","journal-title":"J Bone Joint Surg Br"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.11","doi-asserted-by":"crossref","first-page":"542","DOI":"10.2106\/00004623-199704000-00009","article-title":"Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft","volume":"2013","author":"Jupiter","year":"1997","journal-title":"J Bone Joint Surg Am"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.12","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/00003086-199603000-00011","article-title":"Long-term results of allograft replacement in the management of bone tumors","volume":"2013","author":"Mankin","year":"1996","journal-title":"Clin Orthop Relat Res"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.13","first-page":"95","article-title":"Body image, perceived social stigma, and the prediction of psychosocial adjustment to leg amputation","volume":"2013","author":"David","year":"1995","journal-title":"Rehab Psychol"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.14","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/00007632-200301150-00008","article-title":"Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion","volume":"2013","author":"Silber","year":"2003","journal-title":"Spine (Phila Pa 1976)"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.15","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.ocl.2009.08.002","article-title":"Treatment of large segmental bone defects with reamer-irrigator-aspirator bone graft: technique and case series","volume":"2013","author":"Mccall","year":"2010","journal-title":"Orthop Clin North Am"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.16","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1007\/s00064-011-0117-8","article-title":"The reamer-irrigator-aspirator (RIA) system","volume":"2013","author":"Pfeifer","year":"2011","journal-title":"Oper Orthop Traumatol"},{"key":"2025042708524070000_2013.jul25_1.bcr2013010480.17","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/00005131-199903000-00006","article-title":"Regeneration of segmental diaphyseal defects in sheep tibiae using resorbable polymeric membranes","volume":"2013","author":"Gugala","year":"1999","journal-title":"J Orthop Trauma"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010480","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:52:48Z","timestamp":1745769168000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010480"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,25]]},"references-count":17,"alternative-id":["10.1136\/bcr-2013-010480"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010480","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,7,25]]}}}