Anatomical Concepts of Distraction Osteogenesis: An Orthopaedic Case in Western Kenya

Abstract

Various pathologies that lead to bone gaps of are difficult to manage and each presentation may require an individualized protocol of management. In the present case, the compound wedge fracture was initially sub-optimally managed leading to more complications, non-union, large collection of sequestrum and sepsis. This unique case required a complex management and salvage of the limb without damaging vital relations such as the nerves, muscles and blood vessels. After thorough assessment, a distraction osteogenesis procedure was recommended to restore the limb functions.