Segmental Bone Defects and Bone Transport
What is a segmental bone defect?
A segmental bone defect is when there is such significant bone missing from a long bone that it is unable to heal or would result in shortening of the limb to achieve bone contact.
This is often acquired because of bone loss from a high energy fracture. It can also result following surgical excision of bone, for example in the treatment of bone infection.
How can the Oxford Bone Infection Unit help in managing Segmental Defects?
We have extensive experience of managing cases with segmental bone defects. We aim to formulate a bespoke plan to address bone loss and have developed techniques to enhance recovery.
The treatment for segmental defects is not straight forward but we have achieved good outcomes, even when treating infected cases. There are various options that we can consider, although we favour so called biological solutions that aim to achieve healed bone, which is well vascularised as the end result.
Due to the complexities of managing cases with bone loss, careful follow-up after surgery is essential to ensure any issues are addressed at an early stage before they become bigger problems.
The Ilizarov method involves apply a gradual distraction force across a controlled cut in the bone which stimulated new bone formation. Using this technique the bone can be regrown to replace that which is missing. Traditionally this has relied on the use of external fixator frames that secure the bone with pins and wires that pass through the limb and are secured to the outer rings. These frames allow full weight bearing.
However, recognising that being treated in this way can be challenging, we have also looked to use techniques that can reduce the duration of frame treatment or avoid it all together. The treatment options will depend on many different factors, and these will be assessed during your initial review. We will then be able to discuss the various options for treatment.
Contact Us
If you’re concerned about symptoms or need more information, please don’t hesitate to contact the Oxford Limb Reconstruction and Infection Clinic. We’re here to help you understand your condition and explore the best treatment options.