Surgical treatment of open tibia and fibula fractures associated with tibial bone defects

Abstract

Objective To explore the methods in the treatment of open tibia and fibula fractures associated with tibial bone defects.Methods A total of 51 cases of open fractures of tibia and fibula from September 2003 to April 2012 were divided into two groups.Twenty four cases of open fractures of tibia and fibula associated with concurrent defect of tibial bone were treated by external fixator and fibula plate at the first stage treatment,and then bone defects were reconstructed with iliac bone grafting at the second stage treatment.Twenty seven patients with acute tibial and soft tissue defects due to compound open tibial fractures were fixed with Ilizarov System.Results All the 51 cases were followed-up and bone defects were reconstructed with satisfactory limb length of the affected extremities.Discrepancy of the length with the limb contralateral difference was less than 2 cm,none of deformity and skin and soft tissue were repaired.Conclusion External fixator and plate is an effective method for treating tibial bone defects less than 6 cm with open tibia and fibula fractures.Ilizarov technique is also an effective option for treating acute tibial bone defects and soft tissue loss,especially in the bone defect more than 6 cm.

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