A 27-year-old girl suffered a tibial fracture with an extensive bone defect due to a major trauma. At first, she was treated with a plate with the purpose to obtain a fibula-pro-tibia transfer, without any improvement. At one-year-follow up, a non-union due to mechanical hardware failure was shown by x-ray. Thus, a second surgery was performed: the ipsilateral fibula was tightly wedged between the preserved proximal and distal third of tibia with an external fixator. We report a follow up of 1 year after the reconstruction that allowed a good bone healing and a remodeling with also further ossification of the periosteal sheath of the fibula.
Fibula-pro-tibia transfer with external fixator after tibia fracture with extensive bone defect: a case report / F. Verdoni, D. Compagnone, F. Grasso, M.D.M. Lombardo, N. Maffulli, G.M. Peretti, L. Mangiavini. - In: JOURNAL OF BIOLOGICAL REGULATORS & HOMEOSTATIC AGENTS. - ISSN 0393-974X. - 33:2 Suppl. 1(2019), pp. 97-101. ((Intervento presentato al 19. convegno Fratture da fragilità: Innovazione in chirurgia ortopedica : Congresso SICOOP Internazionale : 11 - 12 aprile tenutosi a Roma nel 2019.
Fibula-pro-tibia transfer with external fixator after tibia fracture with extensive bone defect: a case report
D. Compagnone;F. Grasso;G.M. PerettiPenultimo
;L. MangiaviniUltimo
2019
Abstract
A 27-year-old girl suffered a tibial fracture with an extensive bone defect due to a major trauma. At first, she was treated with a plate with the purpose to obtain a fibula-pro-tibia transfer, without any improvement. At one-year-follow up, a non-union due to mechanical hardware failure was shown by x-ray. Thus, a second surgery was performed: the ipsilateral fibula was tightly wedged between the preserved proximal and distal third of tibia with an external fixator. We report a follow up of 1 year after the reconstruction that allowed a good bone healing and a remodeling with also further ossification of the periosteal sheath of the fibula.File | Dimensione | Formato | |
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2019-02-14 Case Report - Perone-pro-tibia.pdf
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