{'fraction_non_alphanumeric': 0.01568627450980392, 'fraction_numerical': 0.0, 'mean_word_length': 4.875, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Shish kebab technique used to treat severe trauma to the foot: a case report

Bone loss is a well-established problem in trauma and orthopaedic surgery. The management of a traumatic injury with bone loss is difficult for the patient and surgeon and requires careful thought and planning. The American Trauma and Life Support (ATLS) guidelines must be followed, and then a decision to preserve the limb must be made. The most widely used classification system for traumatic bone loss is the Paprosky system. However, this is only used in the setting of acetabular bone loss. A recent paper by Tetsworth et al. put forward a new classification system for posttraumatic bone defects based on orthogonal radiographs to assess extent and local geometry of bone loss. This system might be seen more frequently in the future for these injuries because it was found to have excellent intraobserver reliability. If limb preservation is the goal, a logical plan must be formulated. The goal in managing all fractures with bone loss is solid bone union, acceptable alignment, equal limb length and restoration of function. Several techniques are described to treat bone loss including, but not limited to, vascularized free fibular graft, distraction osteogenesis and the Masquelet technique. The purpose of this case report was to highlight the challenges faced by the surgeon in the setting of traumatic bone loss. The authors want to emphasize the importance of detailed preoperative planning to ensure an optimal outcome for the patient. This case report may be used as an example of a successful treatment for a difficult clinical case that might be encountered by others. Informed consent was obtained from the patient for this report. Institutional review board approval was not required.