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Spontaneous Healing Of Large Femoral Corightical Bone Defects: Does Genetic Predisposition Play A Role?

Hinsche, A. F. 2003Other/Unknown

Hinsche, A. F., Giannoudis, P. V., Matthews, S. E., & Smith, R. M. (2003). spontaneous healing of large femoral corightical bone defects: does genetic predisposition play a role?. Acta orighthopaedica Belgica, 69(5), 441–446.

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Case Details

Disease Location

Case 4: left distal femur

Personal Characteristics

Case 4: 21-year old motorcyclist

Clinical Characteristics

Multiple injuries including blunt abdominal trauma and splenic rupture, ultiple fractures to forearm and hand and open fracture to left distal femur measuring 9 cm with immediate bone loss

Remission Characteristics

New bone formation in femur; 6 months after injury patient was weight bearing with walking stick

Treatment & Mechanisms

Proposed Remission Mechanisms

For all cases, genetic predisposition; more complex fracture patterns may heal faster; bone growth may be supported by intramedullary devices and thorough wound debridation

Clinical Treatment

Case 4: application of external fixator to femur and reconstruction of femoral condyles and briding of long corightical bone defect with long reconstruction plate

Non-Clinical Treatment

For all cases, none reported stated