The Experts below are selected from a list of 10887 Experts worldwide ranked by ideXlab platform
T Y Rhie - One of the best experts on this subject based on the ideXlab platform.
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prosthetic reconstruction for tumours of the Distal Tibia and fibula
Journal of Bone and Joint Surgery-british Volume, 1999Co-Authors: Y B Park, T Y RhieAbstract:We have carried out prosthetic reconstruction in six patients with malignant or aggressively benign bone tumours of the Distal Tibia or fibula. The diagnoses were osteosarcoma in four patients, parosteal osteosarcoma in one and recurrent giant-cell tumour in one. Five tumours were in the Distal Tibia and one in the Distal fibula. The mean duration of follow-up was 5.3 years (2.0 to 7.1). Reconstruction was achieved using custom-made, hinged prostheses which replaced the Distal Tibia and the ankle. The mean range of ankle movement after operation was 31° and the joints were stable. The average functional score according to the system of the International Society of Limb Salvage was 24.2 and five of the patients had a good outcome. Complications occurred in two with wound infection and talar collapse. All patients were free from neoplastic disease at the latest follow-up. Prosthetic reconstruction may be used for the treatment of malignant tumours of the Distal Tibia and fibula in selected patients.
S J M Davies - One of the best experts on this subject based on the ideXlab platform.
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fractures of the Distal Tibia minimally invasive plate osteosynthesis
Injury-international Journal of The Care of The Injured, 2004Co-Authors: D J Redfern, S U Syed, S J M DaviesAbstract:Abstract Unstable fractures of the Distal Tibia that are not suitable for intramedullary nailing are commonly treated by open reduction and internal fixation and/or external fixation, or treated non-operatively. Treatment of these injuries using minimally invasive plate osteosynthesis (MIPO) techniques may minimise soft tissue injury and damage to the vascular integrity of the fracture fragments. We report the results of 20 patients treated by MIPO for closed fractures of the Distal Tibia. Their mean age was 38.3 years (range: 17–71 years). Fractures were classified according to the AO system, and intra-articular extensions according to Ruedi and Allgower. The mean time to full weight-bearing was 12 weeks (range: 8–20 weeks) and to union was 23 weeks (range: 18–29 weeks), without need for further surgery. There was one malunion, no deep infections and no failures of fixation. MIPO is an effective treatment for closed, unstable fractures of the Distal Tibia, avoiding the complications associated with more traditional methods of internal fixation and/or external fixation.
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O2595 FRACTURES OF THE Distal Tibia: MINIMALLY INVASIVE PLATE FIXATION
2004Co-Authors: D J Redfern, S U Syed, S J M DaviesAbstract:Introduction: Unstable fractures of the Distal Tibia that are not suitable for intramedullary nailing are commonly treated by open reduction and internal þxation and/or external þxation techniques. Treatment of these injuries using minimally invasive plate osteosynthesis (MIPO) techniques may offer the advantage of achieving adequate þxation whilst minimising soft tissue injury and damage to the vascular integrity of the fracture fragments. Purpose: We report our experience using MIPO techniques for the treatment of unstable fractures of the Distal Tibia. Method: A review of all patients who sustained an unstable fracture of the Distal Tibia treated by MIPO between 1998 and 2001 was undertaken. Twenty patients were identiþed. The mean age was 38.3 years (17 Ð 71). All fractures were closed, and were classiþed according to the AO system. Intra-articular fracture extensions were classiþed according to RŸedi and Allgswer. Results: Sixty percent of patients achieved callus by 8 weeks. All patients achieved callus by 3 months. The mean time to full weight bearing was 12 weeks (8 Ð 17). By 6 months 18/20 patients had achieved union. The two remaining patients achieved union by 7 months without further surgery. There were no deep infections and only one malunion. There were no cases of failure of þxation. Conclusion: MIPO appears to offer a reliable method of þxation of fractures of the Distal Tibia that are unsuitable for intramedullary nailing. Our results suggest that this technique is associated with a lower risk of signiþcant complications than encountered with more traditional methods of þxation of such fractures.
P.w. Allen - One of the best experts on this subject based on the ideXlab platform.
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Triplane fracture of the Distal Tibia
Injury, 2000Co-Authors: E. El-karef, H.i. Sadek, D.s. Nairn, C.h. Aldam, P.w. AllenAbstract:A prospective study of 21 triplane fractures of the Distal Tibia is presented. Nineteen cases (90.5%) had lateral triplane fractures, while the other two (9.5%) had medial triplane fractures. Two fragment fractures were encountered in 12 cases (57%); three fragment fractures in six cases (29%), and four fragment fractures in the remaining three cases (14%). Fourteen cases (67%) were managed non-operatively, while in seven cases (33%), open reduction and internal fixation was performed. Twenty patients (95%) were pleased with the final outcome. Objectively, 14 cases (67%) achieved excellent results.
Madhav A Karunakar - One of the best experts on this subject based on the ideXlab platform.
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surgical treatment of nonarticular Distal Tibia fractures
Journal of The American Academy of Orthopaedic Surgeons, 2006Co-Authors: Asheesh Bedi, Madhav A KarunakarAbstract:Distal Tibia metaphyseal fractures can be difficult to manage. Treatment selection is influenced by the proximity of the fracture to the plafond, fracture displacement, comminution, and injury to the soft-tissue envelope. Nonsurgical management is possible for stable fractures with minimal shortening. Indications for intramedullary nailing have expanded to include Distal metaphyseal Tibia fractures. Intramedullary nailing allows atraumatic, closed stabilization while preserving the vascularity of the fracture site and integrity of the soft-tissue envelope. Intramedullary canal anatomy at this level prevents intimate contact between the nail and endosteum, however, and concerns have been raised regarding the biomechanical stability of fixation and risk of malunion. Plate fixation is effective in stabilizing Distal Tibia fractures. Conventional techniques involve extensive dissection and periosteal stripping, which increase the risk of soft-tissue complications. Percutaneous plating techniques use indirect reduction methods and allow stabilization of Distal Tibia fractures while preserving vascularity of the soft-tissue envelope. External fixation is effective in the setting of contaminated wounds or extensive soft-tissue injury. Careful preoperative planning with consideration for fracture pattern and soft-tissue condition helps guide implant selection and minimize postoperative complications.
Y B Park - One of the best experts on this subject based on the ideXlab platform.
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prosthetic reconstruction for tumours of the Distal Tibia and fibula
Journal of Bone and Joint Surgery-british Volume, 1999Co-Authors: Y B Park, T Y RhieAbstract:We have carried out prosthetic reconstruction in six patients with malignant or aggressively benign bone tumours of the Distal Tibia or fibula. The diagnoses were osteosarcoma in four patients, parosteal osteosarcoma in one and recurrent giant-cell tumour in one. Five tumours were in the Distal Tibia and one in the Distal fibula. The mean duration of follow-up was 5.3 years (2.0 to 7.1). Reconstruction was achieved using custom-made, hinged prostheses which replaced the Distal Tibia and the ankle. The mean range of ankle movement after operation was 31° and the joints were stable. The average functional score according to the system of the International Society of Limb Salvage was 24.2 and five of the patients had a good outcome. Complications occurred in two with wound infection and talar collapse. All patients were free from neoplastic disease at the latest follow-up. Prosthetic reconstruction may be used for the treatment of malignant tumours of the Distal Tibia and fibula in selected patients.