Distal tibial periarticular nonunions: ankle salvage with bone transport. Academic Article uri icon

Overview

MeSH

  • External Fixators
  • Female
  • Humans
  • Intra-Articular Fractures
  • Limb Salvage
  • Middle Aged
  • Osteogenesis, Distraction

MeSH Major

  • Fracture Fixation
  • Fractures, Ununited
  • Tibial Fractures

abstract

  • A nonunion of the distal tibial metaphysis in close proximity to the articular surface is a challenging clinical problem. Many of the commonly used techniques in a surgeon's treatment armamentarium can be ineffective because of the relative lack of distal bone stock. This study describes a technique of en bloc excision of all infected or nonunited distal tibial bone with an application of a circular external fixator and limb shortening. After treatment with parental antibiotics, when appropriate, and docking of the distal excision site, distraction osteogenesis of the proximal tibia is performed with a second circular frame.

publication date

  • June 2014

has subject area

  • External Fixators
  • Female
  • Fracture Fixation
  • Fractures, Ununited
  • Humans
  • Intra-Articular Fractures
  • Limb Salvage
  • Middle Aged
  • Osteogenesis, Distraction
  • Tibial Fractures

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1097/BOT.0000000000000011

PubMed ID

  • 24296601

Additional Document Info

start page

  • e146

end page

  • e152

volume

  • 28

number

  • 6