Composite Fixation of Proximal Tibial Nonunions: A Technical Trick

Jonne Prins, Johanna C. E. Donders, Peter Kloen

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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.
Original languageEnglish
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Issue number9
Publication statusPublished - 2018

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