Implant Reconstruction of the Proximal Tibia: Modular Prosthesis and Rotational Gastrocnemius Flap

2021 ◽  
pp. 299-310
Author(s):  
Philipp T. Funovics
Keyword(s):  
Proximal Tibia ◽  
Modular Prosthesis ◽  
Gastrocnemius Flap ◽  
Implant Reconstruction

scholarly journals Extensor Function After Medial Gastrocnemius Flap Reconstruction of the Proximal Tibia

2013 ◽  
Vol 471 (7) ◽  
pp. 2333-2339 ◽  
Author(s):  
Thorsten Jentzsch ◽  
Matthias Erschbamer ◽  
Franziska Seeli ◽  
Bruno Fuchs
Keyword(s):  
Proximal Tibia ◽  
Medial Gastrocnemius ◽  
Flap Reconstruction ◽  
Gastrocnemius Flap

scholarly journals Bilateral Gastrocnemius Flap For Harlequin Defects Around The Knee

2020 ◽  
Vol 6 (1) ◽  
pp. 248-253
Author(s):  
Tarun Chabra ◽  
Venkatramani Hari ◽  
Sabapathy SR
Keyword(s):  
Soft Tissue ◽  
Proximal Tibia ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
High Energy ◽  
Tissue Loss ◽  
Lateral Side ◽  
Gastrocnemius Flap ◽  
Schatzker Type ◽  
The Mean

Background : Tibial plateau fractures (especially bicondylar Schatzker type 5 and type 6) are a result of high energy trauma. Along with bony component, soft tissue injury is a major determinant in the treatment and final outcome. Bicondylar fractures needs bicolumnar fixation and as such require separate approaches: postero-medial and lateral incisions. The soft tissue of the proximal tibia swells significantly after the injury, coupled with extensive soft tissue dissection during fixation this can lead to subsequent wound breakdown and infection along either side of the proximal tibia which resembles “harlequin eyes”. This study describes outcome of management of post operative soft tissue complications following bicolumnar fixation of proximal tibia with medial and lateral gastrocnemius flap. Method : Three patients who had bilateral soft tissue necrosis at surgical incision sites treated with debridement and bilateral gastrocnemius flaps between January 2016 and December 2017 were included in this study. The mean age was 38 years (range 18–50 years) and the mean duration of follow-up was 10 months. Outcome assessments included the condition of the flap and fracture healing time. Result : All fractures united after surgery. There were no soft tissue complications and all flaps healed well. The mean bony union time was 6 months. Conclusion: Our technique of covering soft tissue loss at surgical site on medial and lateral side of proximal tibia with bilateral gastrocnemius flap in the same setting is a reliable and safe surgical method for these conditions.

Implant Reconstruction of the Distal Femur: I—Modular Prosthesis

2021 ◽  
pp. 225-233
Author(s):  
Giulia Trovarelli ◽  
Jim Georgoulis ◽  
Elisa Pala ◽  
Andreas F. Mavrogenis ◽  
Pietro Ruggieri
Keyword(s):  
Distal Femur ◽  
Modular Prosthesis ◽  
Implant Reconstruction

Fixation for the open proximal tibia fracture approached by posteromedian for gastrocnemius flap combined with anterolateral approach

2014 ◽  
Vol 6 (2) ◽  
pp. 129-132
Author(s):  
Kentaro Futamura ◽  
Tomonori Baba ◽  
Toshiya Kudo ◽  
Yasuhiro Homma ◽  
Yuichiro Maruyama ◽  
...  
Keyword(s):  
Proximal Tibia ◽  
Tibia Fracture ◽  
Anterolateral Approach ◽  
Proximal Tibia Fracture ◽  
Gastrocnemius Flap

COMPARATIVE ANALYSIS OF CLOSED REDUCTION AND EXPERT TIBIA NAILING WITH OPEN REDUCTION AND PLATE & SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES

2018 ◽  
Author(s):  
Anil Pandey ◽  
Setul Shah ◽  
Deepak S Maravi ◽  
S Uikey
Keyword(s):  
Intramedullary Nailing ◽  
Closed Reduction ◽  
Proximal Tibia ◽  
Plate Fixation ◽  
Surgical Site Infections ◽  
Delayed Union ◽  
Large Sample Size ◽  
Multicentric Study ◽  
Group A ◽  
Group B

Introduction:- Extra-articular proximal tibial fractures account for 5–10 % of all tibial shaft fractures and it result from high-velocity trauma. Closed reduction with minimally invasive plating and locked intramedullary  nailing have been widely used for treatment of proximal tibia extraarticular fractures. Our pupose is to compare the pros and cons of these two methods. Materials and methods:- 22 patients were included in this study for a period of 2 years. Patients treated with IMN were kept in group A patients treated with percutaneus plating were kept in group B. Standard approach of nailing and plating were used and proper follow up were taken for next upcoming 1 year. Results:- Combined average age was 38years. Male were more commonly affected than female (13:8). Majority of fracture were of type A33. Operative time was < 2 hours in both groups. Less blood loss occurred during intramedullary nailing as compared to locking plate fixation. Surgical site infections (SSIs) were seen in two patients in the PTP group. Delayed union occurred in two patients in the IMN group. The average range of motion was 119.7(range 90-150, SD= 19.18) in group A and 115.2(range 80-150, SD = 17.28) in group B. Conclusion:- in treatment of proximal tibia extra articular fracture use of IMN and PTLCP gives comparable results. To validate this issue further a large sample size multicentric study is recommended   Key words: intramedullary nailing (IMN), Extraarticular tibialn fracture, Surgical site infection.

PHYSIOTHERAPY AFTER SURGICALLY STABILIZED PROXIMAL TIBIA FRACTURE

2020 ◽  
Vol 18 (2) ◽  
pp. 156-160
Author(s):  
R. Tasheva
Keyword(s):  
Proximal Tibia ◽  
Weight Bearing ◽  
Lateral Compartment ◽  
Recovery Phase ◽  
Knee Extension ◽  
Tibia Fracture ◽  
Extension Deficit ◽  
Proximal Tibia Fracture ◽  
Ao Classification ◽  
Correct Function

THE AIM OF THIS STUDY is to present the physiotherapy for overcoming the substitution movements and to restore the correct function in the phase of relative protection after surgical stabilized proximal tibia fracture. Material and method Seven patients after fracture in the proximal lateral compartment of the tibia (type b1 in AO classification) with an average age of 42, 9 years were treated. After surgery, an average of 30 days of the brace was used for relative protection. The aim of the physiotherapy was to overcome muscle imbalance to achieve proper movement in the respective planes. Emphasis on recovery was the proper weight bearing on the operated lower limb. RESULTS The results of the first recovery phase demonstrated very limited knee flexion in range of 22, 7º, and knee extension deficit in the range of -15º. After two weeks the results progressed to 115, 5º flexion and full restoration of the extension. Control of edema and hypotrophy of the thigh were proven by circumference. CONCLUSION The adequate physiotherapy provides overcoming of the substitution movements and to restore the correct knee function in the phase of relative protection after surgical stabilized fracture in the proximal tibia.

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