This is an early access version
Group Author: Maksim Kovačević
Group Author: Marijana Kovačević
Group Author: Verica Prodanović
Group Author: Sanja Marić
Group Author: Nada Avram
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Foca, The Faculty of Medicine in Foca, University of East Sarajevo , Lukavica , Bosnia and Herzegovina
Group Author: Dražen Erić
Introduction. Tibial bone defects, particularly those caused by infections, represent one of the most complex challenges in orthopedics. Given the severity of complications such as limb function loss or even amputation, the need for innovative and reliable treatment methods is crucial. Medial fibular transport using the Ilizarov apparatus offers a successful solution to these problems, preserving limb functionality and integrity.
Case report. This paper presents the case of a 76-year-old patient with chronic osteomyelitis and infected tibial pseudarthrosis. Following radical debridement and sequestrum removal, a significant partial bone defect measuring 8 cm remained. Treatment was performed using medial fibular transport with the Ilizarov apparatus. The reconstruction process lasted eight months, after which complete bone consolidation, infection elimination, and restoration of limb function were achieved.
Conclusion. The medial fibular transport technique has proven to be an effective and safe method for treating large tibial defects associated with infection, enabling limb preservation and significantly improving patients’ quality of life.
Data curation, A.T.; Writing – original draft, A.T. All authors have read and agreed to the published version of the manuscript.
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