Open AccessJournal Article
Management of gap non-union of tibia by tibialisation of ipsilateral vascular fibula.
TLDR
This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay with good results with good hypertrophy of bone after union, and one case had poor result with fracture going into delayed union with nohypertrophy.Abstract:
Gap non-union of tibia following traumatic bone loss or infection dramatically emphasizes the limitation of conventional reconstructive techniques. With presence of significant skin loss or poorly vascularised recepient bed, complications and failure rate increase and solution often lies in amputation. Vascularised ipsilateral fibular grafting offers a viable alternative to this. This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay. All the cases were secondary to osteomyelitis following compound fracture of tibia-fibula or hematogenous osteomyelitis with a large sequestrum. 15 cases had good results with good hypertrophy of bone after union. One case had poor result with fracture going into delayed union with no hypertrophy. We discuss the technique, complications and results of this procedure.read more
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Journal ArticleDOI
The management of fractures with bone loss
TL;DR: Historically, because of the problems involved in initial limb salvage and the subsequent difficulty of reconstructing large skeletal defects many fractures with significant bone loss were treated by primary amputation.
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Ipsilateral Fibular Transport Using Ilizarov–Taylor Spatial Frame for a Limb Salvage Reconstruction: A Case Report:
TL;DR: The outcome of this case study indicates that ipsilateral fibular transport using the Ilizarov method is a valuable technique for limb salvage reconstruction.
Journal ArticleDOI
Acute emergency tibialization of the fibula: reconstruction of a massive tibial defect in a type IIIC open fracture
TL;DR: A type IIIC open tibia fracture with massive loss of the entire tibial diaphysis is presented, which is treated by performing acuteTibialization of the fibula after revascularized of the posterior tibia artery in a single-stage emergency operation.
Journal ArticleDOI
Huntington's procedure revisited.
TL;DR: The outcomes of ipsilateral fibular transposition (Huntington's procedure) for reconstruction of major tibial defects are reported and it is found that the union of transferred fibula is faster than conventional graft as it is a vascularized graft.
Journal ArticleDOI
Massive segmental bone loss due to pantibial osteomyelitis in children reconstructed by medial fibular transport with Ilizarov frame
TL;DR: The largest series of limb salvage for massive tibial bone loss in children due to pan-osteomyelitis by IMFT with Ilizarov apparatus works well for limb salvage in children.
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