PURPOSE: Bone and soft-tissue defects in the leg can be caused by high-energy @entity130 . One of the causes of extensive @entity79 are @entity130 . The incidence of these has been noticeably increasing in recent years in countries with political instabilities due to the random availability of weapons. The aim of this study is to focus on the essentials of treatment of post-gunshot tibial bone loss using the Ilizarov concept. METHODS: In the period between June 2011 and July 2013, 30 @entity1 with open @entity174 after gunshots comprised the present study with an average follow-up of 18  months. The bone defect was associated with soft-tissue loss in 18 cases. All cases were subjected to extensive debridement of all devitalized tissues back to the healthy bone with viable soft tissue coverage. All cases were treated by the Ilizarov external fixator using the bifocal bone transport technique. RESULTS: The overall bone results were satisfactory in 28 cases (93.3  %). The overall functional results were satisfactory in 22 cases (73.3  %). The bone end results were significantly affected by age and smoking, while the functional end results were significantly affected by smoking, the presence of infection at the time of presentation, and complications during the procedure. CONCLUSIONS: Bone transport is a reliable method in the treatment of gunshot @entity79 of the tibia after extensive debridement of all the devitalized tissues. The Ilizarov external fixator allows the functional use of the limb throughout the course of treatment, preventing @entity2537 and increasing @entity1 satisfaction.

Our experience in the management of segmental XXXX caused by gunshots.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['tibial fractures'] @entity2537 :: ('MESH:D020966', 'Disease') :: ['disuse osteoporosis'] @entity79 :: ('MESH:D001847', 'Disease') :: ['bone defects'] @entity130 :: ('MESH:D014947', 'Disease') :: ['gunshot injuries', 'trauma']
@entity79 :: (MESH:D001847,Disease) :: ['bone defects']
