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Fig. 3 | Military Medical Research

Fig. 3

From: Masquelet technique in military practice: specificities and future directions for combat-related bone defect reconstruction

Fig. 3

Reconstruction of a proximal tibia defect (SOFCOT type 3) in a local patient managed by a forward surgical team. a Radiological view of the gunshot wound at the admission. b Primary management according to DCO principles. c, d Conversion to definitive plating, implantation of a 9 cm length spacer, and coverage by a medial gastrocnemius muscle flap at stage 1. e Radiological view after autografting using cancellous bone grafts and a non-vascularized fibula strut. Bone union was achieved after 6 months but the patient suffered from knee stiffness due to the absence of physical therapy. DCO damage control orthopedics, SOFCOT Société Française de Chirurgie Orthopédique et Traumatologique

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