Erdem Şahin1, Fatih Durgut2, Ali Ihsan Tuğrul3

1Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
2Department of Orthopedics and Traumatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
3Department of Orthopedics and Traumatology, Beyhekim Training and Research Hospital, Konya, Turkey

Keywords: Autoclaved bone, extruded bone, open fracture


Clinical management of open fractures with an extruded bone defect developed due to high-energy traumas is difficult for all orthopedic surgeons. There is no consensus which graft may be used or how to sterilize the extruded bone segments. Herein, we present an 18-year-old male who had open femur fracture with an extruded segment, after a motorcycle accident. The femoral fracture was reconstructed with the 12 cm devascularized segment which was autoclaved, and no complication developed in the long-term follow-up. In conclusion, although the autoclaving of the extruded bone yielded satisfactory results in this case, it should be noted that reimplantation of contaminated bone segments can lead to severe infections.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.