Treatment of a post-traumatic bone defect following a comminuted metaphyseal tibial fracture using S53P4 bioactive glass: a case report

Background

High-energy fractures of the distal tibia associated with soft tissue defects represent a significant therapeutic challenge due to the high risk of infection and non-union. We demonstrate an effective treatment of such a fracture using S53P4 bioglass. Case Report: We present the case of a 53-year-old male patient who sustained a comminuted distal metaphyseal fracture of his tibia and fibula, complicated by extensive burns in vicinity and a bone defect. Following initial stabilization and soft tissue management, the bone defect was treated with plate osteosynthesis and filled with S53P4 bioactive glass. At the 9-month follow-up, the fracture had healed with a good functional outcome and no signs of infection.