Abstract
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.
Résumé
18 patients présentant une pseudarthrose de la diaphyse tibiale, avec raccourcissement ont été traités. Pour chaque patient, la pseudarthrose a été mise à plat avec correction d’axe et stabilisation avec un appareil d’Ilizarov. Le tibia a été allongé progressivement de 1 à 1.5 mm par jour. Après correction de l’inégalité de longueur, la fixation externe a été remplacée par une lame plaque associée à une greffe. 16 patients ont été traités ainsi avec un suivi moyen de 2.4 ans (1.2 à 4.5). Il n’y a pas eu d’infections profondes. Cette technique entraîne un taux de succès important avec un traitement plus rapide et une amélioration du confort des patients. Cette méthode peut être considérée comme adaptée à tous les patients.
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Wu, CC., Lee, ZL., Wu, CC. et al. Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft non-union with shortening. International Orthopaedics (SICO 32, 693–696 (2008). https://doi.org/10.1007/s00264-007-0370-5
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DOI: https://doi.org/10.1007/s00264-007-0370-5