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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Infected nonunion of tibia.

Milind Madhav Chaudhary1

  • 1Director, Orthopaedic Surgery, Centre for Ilizarov Techniques, Chaudhary Hospital, Akola, Maharashtra, India.

Indian Journal of Orthopaedics
|June 2, 2017
PubMed
Summary

Treating infected tibial nonunions requires addressing infection, deformities, and bone gaps. Management involves debridement, fixation, and bone reconstruction techniques like bone transport for successful union.

Keywords:
Bone cementsInfectionantibiotic cementbone diseasesbone regenerationbone transportgap nonunioninduced membrane techniqueinfection severity scoreinfectionsnonunionregenerate bonetibia

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Area of Science:

  • Orthopedic Surgery
  • Infectious Disease Management
  • Regenerative Medicine

Background:

  • Infected nonunions of the tibia present significant challenges including infection, deformities, and bone defects.
  • Standardized classifications like ASAMI and scoring systems aid in treatment planning and prognosis.

Purpose of the Study:

  • To outline the multifaceted challenges and current treatment strategies for infected tibial nonunions.
  • To discuss the role of various surgical techniques and biological adjuncts in achieving union and eradicating infection.

Main Methods:

  • Comprehensive debridement of necrotic tissue is the primary treatment.
  • Fixation strategies include internal and external fixation, with compression at the nonunion site.
  • Bone reconstruction techniques such as bone transport and the induced membrane technique are employed for bone gaps.

Main Results:

  • Successful treatment hinges on thorough infection eradication and achieving bone union.
  • Bone transport is a reliable method for managing bone gaps, while the induced membrane technique offers an alternative.
  • Biological stimuli like bone grafts and growth factors can augment healing.

Conclusions:

  • Infected tibial nonunions demand a systematic approach combining surgical expertise, infection control, and reconstructive techniques.
  • Patience and multidisciplinary management are crucial for successful outcomes in complex cases.