Staged limb salvage of a Gustilo–Anderson type IIIC open distal tibial gunshot fracture using cross-leg pedicle flap and delayed intramedullary nailing with bone grafting: a case report - Scorecard - MDSpire

Staged limb salvage of a Gustilo–Anderson type IIIC open distal tibial gunshot fracture using cross-leg pedicle flap and delayed intramedullary nailing with bone grafting: a case report

  • By

  • Abdikarim Mahad Ahmed

  • Osman Mohamed Abdulkarim

  • Abdijalil Abdullahi Ali

  • Mohamed Osman Dahir Alasow

  • Nur Adam Mohamed

  • Abdullahi Khalif Ali

  • June 11, 2026

  • 0 min

Share

Clinical Scorecard: Management of a Gustilo–Anderson type IIIC open distal tibial gunshot fracture through staged limb salvage with cross-leg pedicle flap and delayed intramedullary nailing accompanied by bone grafting: a case study

At a Glance

CategoryDetail
Condition
Key MechanismsInvolves arterial injury requiring urgent repair, staged debridement, and soft-tissue coverage.
Target Population
Care Setting

Key Highlights

    Guideline-Based Recommendations

    Diagnosis

      Management

      • Perform urgent irrigation and debridement.
      • Utilize cross-leg pedicle flap for soft-tissue coverage.
      • Implement delayed intramedullary nailing with structural grafting.

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          Clinical Best Practices

            Related Resources & Content

            Original Source(s)

            Staged limb salvage of a Gustilo–Anderson type IIIC open distal tibial gunshot fracture using cross-leg pedicle flap and delayed intramedullary nailing with bone grafting: a case report

            • by Abdikarim Mahad Ahmed, Osman Mohamed Abdulkarim, Abdijalil Abdullahi Ali, Mohamed Osman Dahir Alasow, Nur Adam Mohamed, Abdullahi Khalif Ali

            • June 11, 2026

            Related Content

            PEYOLO: a wrist fracture detection network based on multi-level receptive field feature extraction and cross-scale fusion

            Treatment of pediatric flatfoot: a systematic review-based consensus and guidelines by CPAM-LRC

            Orthopedic Care Without Delays: How the Wayne Pavilion is Changing the Referral Experience

            For many referring providers, sending a patient for orthopedic care is not just about clinical expertise. It comes down to access, speed, and confidence in what happens next. How quickly will the patient be seen? Will they get a clear diagnosis without unnecessary delays? And will care feel coordinated or fragmented?

            • by

            • May 20, 2026

            • 5 min