Soft Tissue and Biomechanical Challenges Encountered with the Management of Distal Tibia Nonunions

被引：13

作者：

Tarkin, Ivan S. ^{[1
]}

Siska, PeterA. ^{[1
]}

Zelle, Boris A. ^{[1
]}

机构：

[1] Univ Pittsburgh, Dept Orthoped Surg, Div Traumatol, Pittsburgh, PA 15213 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2010年 / 41卷 / 01期

关键词：

Distal tibia; Nonunions; Malunion bone graft; Bone morphogenetic protein; Soft tissue management; FOLLOW-UP; FRACTURES; RECONSTRUCTION; DEFECTS; ABNORMALITIES; TRANSPORT; SALVAGE;

D O I：

10.1016/j.ocl.2009.07.009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A thoughtful treatment algorithm is required to optimally treat distal tibia nonunion. A healthy respect for the tenuous soft tissue envelope, compromised vascularity, and challenging mechanical environment is advisable. Achieving osseous union and improved functionality requires an individualized plan of care based on the personality of the nonunion and host. Attention must be focused on providing mechanical stability at the site of nonunion and providing biologic supplementation.

引用

页码：119 / +

页数：9

共 40 条

[1] Ilizarov bone transport for massive tibial bone defects [J].

Abdel-Aal, AM .

ORTHOPEDICS, 2006, 29 (01) :70-74

[2]

Arany L, 1980, Radiol Diagn (Berl), V21, P673

[3] Ipsilateral vascularised fibular transport for massive defects of the tibia [J].

Atkins, RM ;

Madhavan, P ;

Sudhakar, J ;

Whitwell, D .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1999, 81B (06) :1035-1040

[4] Angiosomes of the foot and ankle and clinical implications for limb salvage: Reconstruction, incisions, and revascularization [J].

Attinger, CE ;

Evans, KK ;

Bulan, E ;

Blume, P ;

Cooper, P .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 117 (07) :261S-293S

[5] Extraosseous blood supply of the tibia and the effects of different plating techniques: A human cadaveric study [J].

Borrelli, J ;

Prickett, W ;

Song, E ;

Becker, D ;

Ricci, W .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2002, 16 (10) :691-695

[6] Tricortical Bone Grafts for Treatment of Malaligned Tibias and Fibulas [J].

Borrelli, Joseph, Jr. ;

Leduc, Stephane ;

Gregush, Ronald ;

Ricci, William M. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2009, 467 (04) :1056-1063

[7] Metabolic and endocrine abnormalities in patients with nonunions [J].

Brinker, Mark R. ;

O'Connor, Daniel P. ;

Monla, Yomna T. ;

Earthman, Thomas P. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2007, 21 (08) :557-570

[8]

Carpenter CA, 1996, CLIN ORTHOP RELAT R, P23

[9]

Chang MC, 1999, ORTHOPEDICS, V22, P739

[10]

Chin KR, 2003, CLIN ORTHOP RELAT R, P241

← 1 2 3 4 →