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J Trauma Inj : Journal of Trauma and Injury

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Case Reports
Bone Transport over the Plate for the Segmental Bone Defect of Tibia
Il Seo, Chang-Wug Oh, Joon-Woo Kim, Kyeong-Hyun Park
J Trauma Inj. 2018;31(2):107-111.   Published online August 31, 2018
DOI: https://doi.org/10.20408/jti.2018.31.2.107
  • 5,151 View
  • 103 Download
AbstractAbstract PDF

Segmental bone defects of the tibia present a challenging problem for the orthopedic trauma surgeon. These injuries are often complicated by soft tissue defects and infection. Many techniques are reported, from bone graft to bone transport. To our knowledge, bone transport over the plate in the distraction site has not been described for the treatment of tibial bone defect. We report an instance including procedure and subsequent complications after bone transport over the plate, to restore a tibial bone defect.

Summary
Proximal Tibia Fracture after Proximal Tibia Autograft Harvest
Jin-Kak Kim, Jong-Hyeop Song, Kyungbum Lee, Jae-Woo Cho, Ki-Ho Moon, Do-Hyun Yeo, Beom-Soo Kim, Jong-Keon Oh
J Trauma Inj. 2017;30(4):247-252.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.247
  • 5,864 View
  • 54 Download
  • 1 Citations
AbstractAbstract PDF

Bone-grafting procedures are common in orthopedic trauma surgeries. There are only few reports on the morbidity after proximal tibia harvesting. Here, we report an experience of complication after proximal tibia harvesting while treating subtrochanteric femoral osteomyelitis.

Summary

Citations

Citations to this article as recorded by  
  • Novel Vacuum-Assisted Method for Harvesting Autologous Cancellous Bone Graft and Bone Marrow From the Proximal Tibial Metaphysis
    Adam M. Lukasiewicz, Paul S. Bagi, Kristin E. Yu, Vineet Tyagi, Raymond J. Walls
    Foot & Ankle Orthopaedics.2021; 6(1): 247301142098190.     CrossRef
Original Article
Analysis of Radiological and Clinical Results in Treatment of Open Segmented Tibia Fractures: A Comparison between Intramedullary Nailing and Minimal Invasive Plate Osteosynthesis
Ji Wan Kim, Hyung Keun Song
J Trauma Inj. 2016;29(3):76-81.   Published online September 30, 2016
DOI: https://doi.org/10.20408/jti.2016.29.3.76
  • 2,185 View
  • 17 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study was to compare the data comprehensively including not only the clinical and radiographic outcomes but some parameters related to operation between the minimally invasive plate osteosynthesis (MIPO) technique and intramedullary nailing (IMN) for treatment of segmental tibia shaft fractures.
METHODS
We conducted a retrospective study of 31 patients (mean age, 49.3 years, range, 27-74 years), with a mean follow-up of 14.1 months (range, 12-19 months) with acute segmental tibial fractures (AO 42-C2) who underwent either surgical treatment of MIPO or IMN. In accordance with the Gustilo-Anderson classification, 11 were type I, 5 were type II, and 15 were type III. Initial compartment syndrome was confirmed in 2 cases.
RESULTS
There were no statistically significant differences in terms of the patient demographic data between the two groups. The time to definitive fixation was longer in the MIPO group (mean 13.7±10.9 days; range, 2-27) than in the intramedullary group (mean 5.4±9.6 days; range, 0-35) with statistically significant difference (p=0.002). Bony union was observed in most of cases but except 5 cases of nonunion were diagnosed (3 in the MIPO vs 2 in IMN, p=0.188). The average bone healing time was 27.1 weeks (10 to 56 weeks) in MIPO group and 23.2 weeks (13 to 66 weeks) in IMN group, respectively (p=0.056). Overall complications were 5 cases in MIPO group and 2 cases in the IMN group. Difference in LEFS was not statistically significant between both groups (p=0.824).
CONCLUSION
This study showed that segmental tibia shaft fractures treated with both MIPO and intramadullary nailing was challenging with relatively high complication rate. A well planned sequential strategy with keeping the soft tissue and personality of fracture in mind is utmost significant as much as the choice of surgical modalities.
Summary

J Trauma Inj : Journal of Trauma and Injury