Authors: Peter Durec , Martin Tutka

Abstract

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.

Conclusion: S53P4 bioactive glass is an effective alternative to autologous bone grafts in high-risk environments due to its osteoinductive and antimicrobial properties.

Keywords: Case report, tibial metaphyseal fracture, bone defect, bioactive glass, S53P4, osteomyelitis prevention, internal fixation.