Reconstruction of a traumatic femoral bone defect using the extruded diaphyseal segment after autoclave sterilization

The traumatic extrusion of bone segments is rare and occurs in high-energy traumas.[1] Segmental bone defects smaller than 5 cm are usually reconstructed with a corticocancellous bone graft from the iliac crest[1] and an autologous fibular graft.[2] Autoclaved allograft may be used for reconstruction when the extruded segment is longer than 5 cm.[3] However, complications such as nonunion, malunion, and osteomyelitis may develop in these cases.