Proximal Tibia Nonunion

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Presentation transcript:

Proximal Tibia Nonunion A.Volna Hospital №31, Moscow

2005. High energy open fracture as a result of car accident 32 year old male patient 2005. High energy open fracture as a result of car accident - First choice was Ilizarov surgical technique In 8 months ExFix was changed to plate 2008. Pain and deformity. X-ray

2008. Pain and deformity. X-ray Surgeons' decision 32 year old male patient 2008. Pain and deformity. X-ray Surgeons' decision

2009. Pain and deformity. X-ray Our decision? 32 year old male patient 2009. Pain and deformity. X-ray Our decision?

2009. Pain and deformity. X-ray Our decision: Brocken nail removal 32 year old male patient 2009. Pain and deformity. X-ray Our decision: Brocken nail removal Fibula osteotomy ChronOS as a bone substitute Tibial Nail with reaming and changing of insertion point

2009. Pain and deformity. X-ray Our decision: Brocken nail removal 32 year old male patient 2009. Pain and deformity. X-ray Our decision: Brocken nail removal Fibula osteotomy ChronOs as a bone substitute Tibial Nail with reaming and changing of insertion point

32 year old male patient 2010. 10m after surgery

32 year old male patient 2010. 10m after surgery