🔰 JOCR Article of the Day Planned Fibular Osteotomy as a Method of Biological Dynamization in Fraser Type I Floating Knee — a novel approach showing how controlled fibular osteotomy can enhance fracture healing in complex limb injuries.
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🔶 Read Free Full Text https://jocr.co.in/wp/2026/02/planned-fibular-osteotomy-as-a-method-of-biological-dynamization-in-the-staged-damage-control-management-of-a-fraser-type-i-floating-knee/
✍ Authored by Dr. Jeff Walter Rajadurai, Dr. K Purushothaman, Dr. M Sathesh Kumar, Dr. N Kanchan, Dr. P Dinesh Kanna, Dr. Abishai Abraham
🧠 Key Insight This case report describes a 22-year-old male with a Fraser Type I floating knee injury following a high-velocity road traffic accident, involving fractures of both femur and tibia with significant soft tissue damage. A staged damage control orthopedics (DCO) approach was used—initial stabilization with femoral nailing and external fixation, followed by definitive tibial nailing after soft tissue recovery. A planned fibular osteotomy was performed during the second stage to allow controlled compression and restore physiological load transfer across the tibia. This “biological dynamization” enhanced fracture healing by promoting natural micromotion at the fracture site. The case highlights that beyond mechanical fixation, optimizing biological environment plays a crucial role in fracture healing. Strategic timing and integration of techniques like fibular osteotomy can significantly improve outcomes in complex trauma cases
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