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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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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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Related Experiment Video

Updated: May 5, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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[Lateral open wedge tibial osteotomy for posttraumatic deformity].

Katrin Karpinski1, Philipp-Johannes Braun1, Theresa Diermeier2

  • 1Abteilung für Unfallchirurgie und Orthopädie, BG Unfallkrankenhaus Berlin, Warener Straße 7, 12683, Berlin, Deutschland.

Operative Orthopadie Und Traumatologie
|September 3, 2024
PubMed
Summary

This study corrects post-traumatic tibial malalignment and pseudoinstability using lateral open wedge high tibial osteotomy. Good long-term results were observed in 70% of patients, offering a viable surgical option.

Keywords:
High tibial osteotomyLateral open wedgePosttraumaticTibia head fractureValgus malalignment

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Area of Science:

  • Orthopedic surgery
  • Biomechanics
  • Traumatology

Context:

  • Post-traumatic valgus malalignment and pseudoinstability of the tibia are common complications.
  • Accurate restoration of the pretraumatic tibial axis is crucial for functional recovery.

Purpose:

  • To describe the surgical technique for correcting pseudoinstability and tibial malalignment.
  • To evaluate the efficacy of lateral open wedge high tibial osteotomy in restoring the pretraumatic tibial axis.

Summary:

  • A lateral open wedge high tibial osteotomy above the tibiofibular joint was performed using an anterolateral approach.
  • Postoperative management included partial weight-bearing for four weeks, followed by full weight-loading after radiological confirmation.
  • Implant removal was performed after complete bony consolidation.

Impact:

  • This technique offers a potential solution for correcting complex tibial deformities.
  • Achieving good long-term outcomes in 70% of cases suggests this procedure's clinical relevance.
  • Further research is warranted due to limited current literature.