TY - JOUR
T1 - Composite Fixation of Proximal Tibial Nonunions: A Technical Trick
AU - Prins, Jonne
AU - Donders, Johanna C. E.
AU - Kloen, Peter
PY - 2018
Y1 - 2018
N2 - Nonunion after a proximal tibia fracture is often associated with poor bone stock, (previous) infection, and compromised soft tissues. These conditions make revision internal fixation with double plating difficult. Combining a plate and contralateral 2-pin external fixator, coined composite fixation, can provide an alternative means of obtaining stability without further compromising soft tissues. Three patients with a proximal tibia nonunion precluding standard internal fixation with double plating were treated with composite fixation. All 3 patients achieved union with deformity correction at a mean of 5.2 months (range, 5-5.5 months). The average range of motion (ROM) arc was 100° (range, 100°-115°) and postoperative ROM returned to pre-injury levels.Composite fixation can be a helpful adjunct in the treatment of this challenging problem.
AB - Nonunion after a proximal tibia fracture is often associated with poor bone stock, (previous) infection, and compromised soft tissues. These conditions make revision internal fixation with double plating difficult. Combining a plate and contralateral 2-pin external fixator, coined composite fixation, can provide an alternative means of obtaining stability without further compromising soft tissues. Three patients with a proximal tibia nonunion precluding standard internal fixation with double plating were treated with composite fixation. All 3 patients achieved union with deformity correction at a mean of 5.2 months (range, 5-5.5 months). The average range of motion (ROM) arc was 100° (range, 100°-115°) and postoperative ROM returned to pre-injury levels.Composite fixation can be a helpful adjunct in the treatment of this challenging problem.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85054776391&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30296315
U2 - https://doi.org/10.12788/ajo.2018.0084
DO - https://doi.org/10.12788/ajo.2018.0084
M3 - Article
C2 - 30296315
SN - 1078-4519
VL - 47
JO - American journal of orthopedics (Belle Mead, N.J.)
JF - American journal of orthopedics (Belle Mead, N.J.)
IS - 9
ER -