Abstract
Stabilization of short periarticular segmental tibial plafond fractures with internal fixation is difficult. Soft tissue compromise, especially in open fractures, further complicates these injuries. Circular external fixation is a versatile tool for treatment of these complex injuries. In addition to stabilizing the fracture, ipsilateral bone transport or lengthening can be performed to treat segmental bone loss.
This article describes the treatment of an open distal tibia fracture with significant metaphyseal bone loss and soft tissue compromise. A circular external fixator (Taylor Spatial Frame, TSF) was used with acute shortening, iliac crest bone graft distally, and concommitant ipsilateral lengthening.
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References and Suggested Reading
Aronson J (1997) Current concepts review-limb-lengthening, skeletal reconstruction, and bone transport with the Ilizarov method. J Bone Joint Surg 79(8):1243–1258
Bonar SK, Marsh JL (1994) Tibial plafond fractures: changing principles of treatment. J Am Acad Orthop Surg 2(6):297–305
Kumar P, Singh GK, Bajracharya S (2007) Treatment of grade IIIB opens tibial fracture by ilizarov hybrid external fixator. Kathmandu Univ Med J 5:177–180
Lenarz C, Bledsoe G, Tracy Watson J (2008) Circular external fixation frames with divergent half pins: a pilot biomechanical study. Clin Orthop Relat Res 466(12):2933–2939
Vives MJ, Abidi NA, Ishikawa SN, Taliwal RV, Sharkey PF (2001) Soft tissue injuries with the use of safe corridors for transfixion wire placement during external fixation of distal tibia fractures: an anatomic study. J Orthop Trauma 15(8):555–559
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© 2015 Springer International Publishing Switzerland
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Robbins, C.A. (2015). Case 33: IIIB Segmental Open Tibial Plafond Fracture Treated with Ankle Joint Salvage and Bone Transport. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18026-7_150
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DOI: https://doi.org/10.1007/978-3-319-18026-7_150
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18025-0
Online ISBN: 978-3-319-18026-7
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