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Published in: International Orthopaedics 5/2008

01-10-2008 | Original Paper

Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft non-union with shortening

Authors: Chi-Chuan Wu, Zhon-Liau Lee, C.-C. Wu, Z.-L. Lee

Published in: International Orthopaedics | Issue 5/2008

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Abstract

Eighteen patients with proximal tibial shaft non-union and shortening were treated. In each patient, the non-union area was débrided, realigned and stabilised with an Ilizarov lengthening frame. The tibia was gradually lengthened by 1–1.5 mm per day. After achieving the desired length, external fixation was converted to an angled blade plate and packed with cancellous bone graft. Follow-up of 16 patients for a median of 2.4 (1.2–4.5) years revealed satisfactory outcomes in all. No wound infections were noted. The described technique has a high success rate, a short treatment course and reduces patient discomfort. This method may be considered preferential treatment for all patients with the specified indications.
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Metadata
Title
Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft non-union with shortening
Authors
Chi-Chuan Wu
Zhon-Liau Lee
C.-C. Wu
Z.-L. Lee
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2008
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-007-0370-5

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