Treatment of distal tibia periarticular bone loss using the Masquelet technique with RIA bone graft.

We report on the management of a patient who following a road traffic accident sustained a grade IIIB open fracture of the distal tibia with acute bone loss of the talus and distal tibia. The patient was managed with acute bone resection, and the two-stage Masquelet technique. He underwent stabilization with a hind-foot nail, application of RIA auto-graft and arthrodesis of the affected joint with a satisfactory functional outcome.