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Segmental Bone Transport with the Monorail Technique in Reconstructing a Bone Defect in the ForearmA Case Report
W. Eljabu, MRCS1; Ch. Fabian, MD1; K. Wissmann, MD1; K. Reichstein, MD1
1 Centre of Traumatology, Hand and Reconstructive Surgery, Klinikum Reinkenheide Bremerhaven, Postbrook Strasse 103, 27574 Bremerhaven, Germany. E-mail address for W. Eljabu: walid.eljabu@doctors.org.uk
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Investigation performed at Klinikum Reinkenheide Bremerhaven, Bremerhaven, Germany

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Sep 11;3(3):e87 1-5. doi: 10.2106/JBJS.CC.L.00298
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Management of posttraumatic segmental bone loss can be challenging. The reconstruction of such defects requires an infection-free zone as well as stable and reliable fixation. The variety of reconstruction methods reflects the complexity in achieving healing in the gap left by bone loss. Distraction osteogenesis, autogenous or allogenic bone-grafting, segmental bone transport, and vascularized and nonvascularized bone transfers are all well-recognized methods of treatment. Most of the associated literature is focused on lower-extremity bone defects; reports of upper-limb bone loss are rare.
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