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J Korean Fract Soc. 2011 Apr;24(2):178-184. Korean. Case Report.
Kim BK , Shin HD , Hwang JM .
Department of Orthopaedic Surgery, Dong-A University Medical Center, Busan, Korea.
Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea.

Endosteum and bone marrow thermal necrosis caused by reaming during tibial intramedullary nail insertion, and unskilled operation of soft tissue penestration by reamer resulted in chronic osteomyelitis and soft tissue defect. So, several times of free flaps were done but the result was unsuccessful. At last, the authors performed radical necrotic bone resection and internal bone transport using Ilizarov external fixator. The authors report case with literature review.

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