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8Treatment - bone and soft-tissue reconstruction

Eradication of infection, restoration of stability, and soft-tissue closure should be achieved before limb reconstruction.

Bony reconstruction

Eradication of infection, restoration of stability, and soft-tissue closure should be achieved before limb reconstruction.
At this stage, bone grafting, or bone transport, is performed, as needed, to achieve union, and/or to reconstruct a defect.
Initially, it may be helpful to accept some limb shortening to achieve wound closure, stability, and/or fracture healing. If the shortening is excessive, or if it involves angulation, these can be corrected with distraction histogenesis (Ilizarov technique), as a final stage of reconstruction.