Staff Members - Benha University
Double Fixation and Bone Graft for Treatment of Non-United Extra-Articular Proximal Tibial Fractures.
Egyptian orthopaedic Journal • 2018
Publication Information
Authors
ElsayedMahmoudBaioumyM.D,AndMahmoudIbrahimKandilM.D
Keywords
:Double fixation;Non-union;Extra-articular
proximaltibialfractures;Implantfailure;Iliacbonegraft;
Additionalmedialplate.
Journal
Egyptian orthopaedic Journal
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
Local
Paper Link
Not Available
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.
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.