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Fig. 5 | Military Medical Research

Fig. 5

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

Fig. 5

Reconstruction of a massive multi-tissue defect of the left knee and proximal tibia (SOFCOT type 4) following a helicopter crash. a Clinical and radiological view at admission. b Primary management according to DCO principles. c Implantation of a 22 cm-long reinforced spacer and flap coverage with combination of medial gastrocnemius muscle and proximal sural flaps at stage 1 (a free flap transfer was precluded by multiple venous thromboses). d Operative views during bone grafting associating cancellous bone grafts and a multiperforated non-vascularized fibular strut. e X-rays showing the reinforced spacer after stage 1. f Radiological view after stage 2: a knee arthrodesis was performed using a femorotibial nail. Progressive weight bearing was initiated at month-3. Bone union was achieved after 6 months without any complication. DCO damage control orthopedics, SOFCOT Société Française de Chirurgie Orthopédique et Traumatologique

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