+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft non-union with shortening

Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft non-union with shortening

International Orthopaedics 32(5): 693-696

Eighteen patients with proximal tibial shaft non-union and shortening were treated. In each patient, the non-union area was débrided, realigned and stabilised with an Ilizarov lengthening frame. The tibia was gradually lengthened by 1-1.5 mm per day. After achieving the desired length, external fixation was converted to an angled blade plate and packed with cancellous bone graft. Follow-up of 16 patients for a median of 2.4 (1.2-4.5) years revealed satisfactory outcomes in all. No wound infections were noted. The described technique has a high success rate, a short treatment course and reduces patient discomfort. This method may be considered preferential treatment for all patients with the specified indications.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 055877674

Download citation: RISBibTeXText

PMID: 17492448

DOI: 10.1007/s00264-007-0370-5

Related references

Salvage of proximal tibial malunion or nonunion with the use of angled blade plate. Archives of Orthopaedic and Trauma Surgery 126(2): 82-87, 2006

Experimental testing of a newly developed 90 degree angled blade plate mc angled blade plate for intertrochanteric osteotomies. Biomedizinische Technik 36(12): 325-329, 1991

A comparison of proximal femoral locking plate versus 95-degree angled blade plate in the treatment of reverse intertrochanteric fractures. Eklem Hastaliklari Ve Cerrahisi 25(1): 15-20, 2014

Salvage of the tibial malunion and nonunion with the use of angled blade plate: other treatment method. Archives of Orthopaedic and Trauma Surgery 126(6): 425; Author Reply 426-425; Author Reply 426, 2006

Treatment of segmental tibial defects using acute bone shortening followed by gradual lengthening with circular external fixator. Journal of Veterinary Medicine. A Physiology Pathology Clinical Medicine 52(4): 180-185, 2005

Solution of Intertrochanteric Fractures of Proximal Femur by 130 degrees Angled Blade Plate - Longterm Results.. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 66(6): 336-341, 1999

Unexpected high complication rate following internal fixation of unstable proximal humerus fractures with an angled blade plate. Journal of Orthopaedic Trauma 20(4): 253-260, 2006

Two-plate fixation in the treatment of the tibial shaft fracture and non-union. Injury 5(4): 291-297, 1974

Tibial lengthening by transepiphyseal distraction of the proximal growth plate. An experimental study in the rabbit. Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 66(6): 351-356, 1980

Primary shortening with secondary limb lengthening for Gustilo IIIB open tibial fractures: a report of six cases. Journal of Trauma 61(1): 172-180, 2006

Functional or conventional plate prebending in 90 degree angled blade plate osteosynthesis of intertrochanteric osteotomies. Archives of Orthopaedic & Trauma Surgery 122(2): 79-81, 1993

Comparison of the 95-degree angled blade plate and the locking condylar plate for the treatment of distal femoral fractures. Journal of Orthopaedic Trauma 26(6): 327-332, 2012

A biomechanical comparison of a locking plate, a nail, and a 95° angled blade plate for fixation of subtrochanteric femoral fractures. Journal of Orthopaedic Trauma 26(6): 334-340, 2012

Treatment of hypertrophic non union of the distal tibial shaft with percutaneously inserted locking plate Initial report on experience in 4 cases. Der Unfallchirurg 109(3): 256-260, 2006