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Fibula-pro-tibia in plating tibial non-unions
Galal Z Said1, Mohammad M El-Sharkawi, Hatem G Said
1Department of Orthopaedic and Trauma Surgery, Assiut University Hospitals, Assiut, Egypt.
International Orthopaedics
|February 15, 2011
Summary
Fibula-pro-tibia plating effectively manages difficult tibial non-unions, especially in osteoporotic bone. This technique offers a stable solution with minimal complications, promoting bone healing.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Tibial diaphysis non-unions pose challenges, particularly with osteoporosis affecting screw purchase.
- The fibula-pro-tibia plating technique has been used to enhance stabilization in these cases.
Purpose of the Study:
- To evaluate the effectiveness of fibula-pro-tibia plating for managing diaphyseal tibial non-unions.
Main Methods:
- A retrospective study of 30 patients with diaphyseal tibial non-union treated between 2000 and 2008.
- Patients had a history of multiple previous surgical procedures for non-union.
Main Results:
- Mean healing time was 3.5 months with minimal complications.
- Two cases of delayed union and two of infected nonunion were successfully managed.
- No adverse effects on ankle joint motion were observed.
Conclusions:
- Fibula-pro-tibia plating is a successful and effective technique for tibial non-unions.
- This method provides a valuable option for complex cases, including those with poor bone quality.
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