Combined distraction osteogenesis and Papineau technique for an open fracture management of the distal lower extremity.

Despite modern surgical techniques and advanced antimicrobial therapy, open lower-extremity fracture management and osteomyelitis remain a challenge for reconstructive surgeons. Posttraumatic composite bone and soft tissue defects are usually the result of high-energy trauma and are often associated with concomitant injuries, therefore making complex reconstruction more difficult. This article presents a case report of an open distal tibial fracture managed by a simultaneous distraction osteogenesis and Papineau technique with a long term follow-up and literature review. Copyright 2010. Published by Elsevier Inc.