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[The fibula-pro-tibia operation--indications, results].

U Heitemeyer1, G Hierholzer

  • 1Berufsgenossenschaftliche Unfallklinik Duisburg-Buchholz.

Unfallchirurgie
|October 1, 1991
PubMed
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The fibula-pro-tibia surgery successfully restored full weight-bearing in 11 of 21 lower leg reconstructions. However, some patients required walking splints or experienced complications like fistulas, with five amputations being unavoidable.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Regenerative Medicine

Background:

  • Combined soft tissue and extensive bone defects in the lower leg present significant reconstructive challenges.
  • Limb salvage and restoration of function are primary goals in managing severe lower extremity trauma.

Purpose of the Study:

  • To evaluate the outcomes of the fibula-pro-tibia operation in patients with combined soft tissue and bone defects of the lower leg.
  • To assess the functional recovery and complication rates associated with this reconstructive technique.

Main Methods:

  • Retrospective analysis of 21 cases undergoing the fibula-pro-tibia operation for lower leg defects.
  • Assessment of bone defect bridging, restoration of weight-bearing capacity, and functional outcomes.

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Main Results:

  • The fibula-pro-tibia procedure successfully bridged bone defects in all 21 patients.
  • Full weight-bearing restoration was achieved in 11 patients (52%).
  • Five patients (24%) required a walking splint, four (19%) developed fistulas, and five (24%) ultimately required lower leg amputation.

Conclusions:

  • The fibula-pro-tibia operation is a viable option for bridging extensive lower leg bone defects.
  • While functional restoration is possible, a significant proportion of patients experience residual limitations or require further interventions, including amputation.