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首页> 外文期刊>Cureus. >A Novel 'Transfibular Approach' for the Nonunion of a Tibial Shaft Fracture with Poor Anteromedial Soft Tissue Cover
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A Novel 'Transfibular Approach' for the Nonunion of a Tibial Shaft Fracture with Poor Anteromedial Soft Tissue Cover

机译:一种新颖的“经腓骨入路”治疗胫前骨骨折的前内侧软组织覆盖不良

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The need for an ideal approach?for the nonunion of the tibial shaft with anteromedial soft tissue scarring has long baffled surgeons. Many different approaches have been suggested in the past, but?all those approaches were haggled by a multitude of problems. We have described a?novel 'transfibular approach' for this selective situation.?An appropriate patient with a mid-shaft tibial non-union was selected. After preoperative workup, the patient underwent an open reduction internal fixation (ORIF) with?lateral tibial plating, bone grafting, and partial fibulectomy. In this new approach, the plane between tibialis anterior and extensor hallucis longus was used combined with a conventional posterolateral approach using the same incision. Subsequently, the patient was followed up for adequacy of the fixation and wound-related problems with a convincing outcome.
机译:对于一种理想的方法-对于胫骨干不愈合,前部软组织瘢痕形成的方法,外科医生早已感到困惑。过去已经提出了许多不同的方法,但是所有这些方法都被众多问题所困扰。我们已经针对这种选择性情况描述了一种新颖的“经腓骨入路”。选择了一个合适的胫骨中轴不愈合患者。术前检查后,患者进行了开放复位内固定(ORIF),并进行了胫骨外侧钢板,植骨和部分纤维切除术。在这种新方法中,使用胫骨前肌和拇长伸肌之间的平面结合使用相同切口的常规后外侧入路。随后,对患者进行了随访,以了解其固定和伤口相关问题的充分性,并得出令人信服的结果。

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