This is an early access version
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National Pirogov Memorial Medical University , Vinnytsia , Ukraine
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National Pirogov Memorial Medical University , Vinnytsia , Ukraine
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National Pirogov Memorial Medical University , Vinnytsia , Ukraine
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National Pirogov Memorial Medical University , Vinnytsia , Ukraine
National Pirogov Memorial Medical University , Vinnytsia , Ukraine
Aim To demonstrate the possibilities of reconstructing a prosthetic stump in a complex defect using staged osteotomy and lengthening, since for successful prosthetic replacement of the tibial stump, its sufficient length is necessary, which is not always possible.
Methods In this article, we present a 25-year-old man diagnosed with a non-prosthetic short stump of the right tibia with extensive necrotized scars of the anterior and end surfaces, closely soldered to the bone sawdust, which underwent lengthening of the short stump of the tibia using the Ilizarov method.
Results The uniqueness of the performed operation is the shortening of the tibia along with the removal of pathologically altered tissues, the formation of a stump, osteotomy of the tibial stump with its subsequent lengthening.Thereconstructionlasted 105 days (5 daysoffixation, 25 daysoflengthening, 75 daysoffixation), whichallowedtoobtain a functionalstump.
Conclusions A stump was created that provided functional prosthetics. We believe that the technique can be successfully used in young people even in the absence of soft tissue reserve of the stump.
Conceptualization, Y.O.B. and V.I.S.; Data curation, Y.O.B., O.Y.B. and O.Y.B.; Formal Analysis, Y.O.B., O.Y.B. and D.V.B.; Investigation, Y.O.B., V.I.S., O.Y.B. and D.V.B.; Project administration, Y.O.B., O.Y.B. and D.V.B.; Visualization, Y.O.B., V.I.S., O.Y.B. and D.V.B.; Writing – original draft, Y.O.B. and V.I.S.; Writing – review & editing, Y.O.B. and D.V.B.; Methodology, V.I.S.; Supervision, O.Y.B. and O.Y.B.; Software, O.Y.B.; Validation, O.Y.B. and D.V.B. All authors have read and agreed to the published version of the manuscript.
No specific funding was received for this study. The study was conducted within the frame work of the research work «To develop reconstructive and restorative operations on lower limbersidual limb stumps after amputations as a result of mine blastinjuries» (registration number 0123U100169), funded by the Ministry of Health of Ukraine with the state budget.
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