Soft tissue and biomechanical challenges encountered with the management of distal tibia nonunions.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 19931060.
- Also identified by DOI 10.1016/j.ocl.2009.07.009.
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Abstract
A thoughtful treatment algorithm is required to optimally treat distal tibia nonunion. A healthy respect for the tenuous soft tissue envelope, compromised vascularity, and challenging mechanical environment is advisable. Achieving osseous union and improved functionality requires an individualized plan of care based on the personality of the nonunion and host. Attention must be focused on providing mechanical stability at the site of nonunion and providing biologic supplementation.
Medical subject headings
- Bone Transplantation
- Fracture Fixation, Internal
- Fracture Healing
- Fractures, Ununited
- Surgical Flaps
- Tibial Fractures
Anatomy
- tibia