Case no.38- Bone transport in tandem

• 37 year old malay male involved with road traffic accident

• Sustained severe Grade 3 open fracture tibia and fibula with extensive bone loss

Initiialy had AO ext fixator followed by muscle flap done

Subsquently had bone transport done in tandem with Orthofix fixator

Progress of bifocal bone transport in tandem

Immediate exchange nailing to unreamed nail four month later

by retrograde route

Complete union of bone and fused ankle

Happy patient with leg salvaged