Abstract
The use of circular external fixator for gradual correction of distal tibial deformity associated with hypertrophic nonunion has been a successful technique (Saleh M, Royston S, J Bone Joint Surg Br 78(1):105–109, 1996). Due to inconvenience of the external fixator, a more convenient fixation method could be used in carefully selected cases (McKee MD, Yoo D, Schemitsch EH, J Bone Joint Surg Br 80:360–364, 1998). Provided that the resultant leg length discrepancy after treatment is less than one inch and is acceptable by the patient, then acute correction of the deformity and fixation by a locked compression plate has been successful with gratifying results to both the patient and surgeon (Helfet DL, Jupiter JB, Gasser S, J Bone Joint Surg Am 74(9):1286–1297, 1992; El-Rosasy MA, El-Sallakh SA, Strateg Trauma Limb Reconstr 8(1):31–35, 2013). In this case fixator-assisted correction of a hypertrophic nonunion with deformity was done followed by plate insertion. Staged lengthening over the plate was performed with a monolateral frame. Two examples of integrated fixation techniques (fixator-assisted plating and lengthening over a plate) were combined in the treatment of this patient.
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El-Rosasy MA, El-Sallakh SA (2013) Distal tibial hypertrophic nonunion with deformity: treatment by fixator-assisted acute deformity correction and LCP fixation. Strateg Trauma Limb Reconstr 8(1):31–35
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McKee MD, Yoo D, Schemitsch EH (1998) Health status after Ilizarov reconstruction of post-traumatic lower limb deformity. J Bone Joint Surg (Br) 80:360–364
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Saleh M, Royston S (1996) Management of nonunion of fractures by distraction with correction of angulation and shortening. J Bone Joint Surg (Br) 78(1):105–109
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© 2015 Springer International Publishing Switzerland
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El-Rosasy, M.A. (2015). Case 32: Acute Correction of Tibial Deformity and Plate Fixation, with Subsequent Lengthening Over Plate. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_285
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DOI: https://doi.org/10.1007/978-3-319-18020-5_285
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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