case_images: PMC6339744_01
case_images: Anteroposterior (AP) and lateral radiographs of the left leg demonstrating a transverse distal diaphyseal tibial fracture and segmental fibular fracture.
case_images: CRIOR2019-3185286.001.jpg
case_images: PMC6339744_01_CRIOR2019-3185286.001.jpg
case_images: fig1
case_images: An otherwise healthy, nonsmoking, 31-year-old male (25.0 kg/m2) was involved in a dirt bike accident and sustained an isolated type II distal diaphyseal tibia fracture with an associated segmental fibula fracture (Figure 1).
case_images: AP and lateral radiographs of the left leg illustrating the induced deformity created with the Taylor spatial frame to allow for primary soft-tissue wound closure.
case_images: CRIOR2019-3185286.002.jpg
case_images: PMC6339744_01_CRIOR2019-3185286.002.jpg
case_images: fig2
case_images: The fracture site was shortened and varus recurvatum deformity was induced until tension-free primary closure of the wound was possible; the struts were fastened, vascular status reassessed, and wound closed (Figures 2 and 3(a)).
case_images: Clinical images demonstrating the acute deformity and soft-tissue closure (a) intraoperatively, (b) 1-week postoperatively, and (c) at final follow-up.
case_images: CRIOR2019-3185286.003.jpg
case_images: PMC6339744_01_CRIOR2019-3185286.003.jpg
case_images: fig3
case_images: The fracture site was shortened and varus recurvatum deformity was induced until tension-free primary closure of the wound was possible; the struts were fastened, vascular status reassessed, and wound closed (Figures 2 and 3(a)). At final follow-up (postoperative month 16), the patient displayed a nonantalgic gait, fully healed surgical sites (Figure 3(c)), and no signs of infection and was working full-time as an auto mechanic.
case_images: AP and lateral radiographs of the left leg demonstrating deformity correction after a 27-day period.
case_images: CRIOR2019-3185286.004.jpg
case_images: PMC6339744_01_CRIOR2019-3185286.004.jpg
case_images: fig4
case_images: Patient's sutures were maintained for four weeks (wound healed) at which point deformity correction commenced at a rate of 0.75 mm per day for a 27-day period (Figure 4).
case_images: AP and lateral radiographs of the left leg show a united fracture at week 24.
case_images: CRIOR2019-3185286.005.jpg
case_images: PMC6339744_01_CRIOR2019-3185286.005.jpg
case_images: fig5
case_images: At week 24, the frame was removed as radiographic fracture union was achieved (Figure 5).