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June 28, 2026Trauma

Incidental use of polymethylmethacrylate as a bone substitute in managing critical bone loss following grade IIIB open tibial fracture – A case report

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Authors

OAOluwasegun AremuUniversity of Ibadan

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Implication

Case report demonstrates effective use of PMMA to manage bone loss in fracture, suggesting a viable alternative.

Key Points

  • The aim is to explore the effectiveness of polymethylmethacrylate as a bone substitute in managing critical bone loss from severe tibial fractures.
  • Managed a 54-year-old male with Gustilo-Anderson type IIIB open tibial fracture and 14 cm bone loss.
  • Used antibiotic cement-coated plate for fixation and applied PMMA as a spacer to fill the bone defect.
  • Monitored clinical and radiological outcomes post-implementation of PMMA.
  • Successful evidence of fracture union was observed without any signs of fracture-related infection.
  • PMMA spacer remained in place longer due to delays in surgical access but still resulted in positive outcomes.

Cite This Study

Oluwasegun Aremu (2026) studied this question.

synapsesocial.com/papers/6a40bb1461bb0a67205c6c37https://doi.org/10.1177/14604086261462379
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Problems in the Management of Type III (Severe) Open Fractures1984 · 2,398 citations
  2. 2The Role of Poly(Methyl Methacrylate) in Management of Bone Loss and Infection in Revision Total Knee Arthroplasty: A Review2020 · 40 citations
  3. 3A Systematic Review and Meta-Analysis of Ilizarov Methods in the Treatment of Infected Nonunion of Tibia and Femur2015 · 154 citations