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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.

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Accession: 055877674

Download citation: RISBibTeXText

PMID: 17492448

DOI: 10.1007/s00264-007-0370-5


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