| publication name | Double Fixation and Bone Graft for Treatment of Non-United Extra-Articular Proximal Tibial Fractures. |
|---|---|
| Authors | ElsayedMahmoudBaioumyM.D,AndMahmoudIbrahimKandilM.D |
| year | 2018 |
| keywords | :Double fixation;Non-union;Extra-articular proximaltibialfractures;Implantfailure;Iliacbonegraft; Additionalmedialplate. |
| journal | Egyptian orthopaedic Journal |
| volume | Not Available |
| issue | Not Available |
| pages | Not Available |
| publisher | Not Available |
| Local/International | Local |
| Paper Link | Not Available |
| Full paper | download |
| Supplementary materials | Not Available |
Abstract
bstract: Background:Non-united extra-articularproximaltibial fractures may be due to distraction, soft tissue interposition, poor vascular supply, or excessive malalignment.Theaim ofthisstudywastoevaluatethe doublefixationandiliacbonegraftfortreatmentofsuch condition. Methods:Thisstudyincluded15adultpatientswiththe meanage37.9±5.2yearswithnon-unitedextra-articular proximaltibialfracturesthatwereinitiallyfixedbysingle implant(plateornail).60%ofcaseswereopenfracture and80%ofcaseshadacomminutedfracture.Incases withoutimplantfailure(3caseswithIMN,3caseswith singlelateralplate),anadditionalmedialplatewasadded asasupplementaryfixation.Incaseswithimplantfailure (9caseswithsinglelateralplate);removalofthefailed implant,fixationwithlaterallockedplateandanadditional medialplateweredone.Inallcases,iliaccancellousbone graftwasdone.Themeanfollowupperiodwas27±4.3 months. Results:Therewere73.3% excellentand 26.7% good outcomeaccordingtoJohnerandWruhs’criteria,with meankneeROM was123°.Allfracturesunitedsolidly afterameanperiodof21±2.7weeks.Themeantimeto full,unprotectedweightbearingwas18±2.9weeks.Two cases had a superficialinfection,and one case had discomfortoverthemedialplate. Conclusion:Doublefixationconstructandiliacbonegraft hadasatisfactoryradiologicalandfunctionaloutcomefor treatmentofnon-united extra-articularproximaltibial fractures.