Die Fibula-pro-Tibia-Operation-Indikation, Ergebnisse

1991 ◽  
Vol 17 (5) ◽  
pp. 280-286 ◽  
Author(s):  
U. Heitemeyer ◽  
G. Hierholzer
Keyword(s):  
Fibula Pro Tibia

A Comparison of Fibula Pro-Tibia Fixation Versus Hindfoot Nailing for Unstable Fractures of the Ankle in Those Older Than 60 Years

2021 ◽  
pp. 193864002110173
Author(s):  
Alistair Ian Eyre-Brook ◽  
Joseph Ring ◽  
Carolyn Chadwick ◽  
Howard Davies ◽  
Mark Davies ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Soft Tissues ◽  
The Elderly ◽  
Ankle Fractures ◽  
Delayed Wound Healing ◽  
First Choice ◽  
Fibula Pro Tibia ◽  
Hospital Stays ◽  
Poor Outcomes

Background: Ankle fractures in the elderly are an increasing problem, with poor outcomes reported. Operative options for patients with suspected osteoporosis and needing to bear weight to ambulate can include hindfoot intramedullary nail (IMN) or fibula pro-tibia fixation (FPT). FPT involves passing 2 or more screws through a lateral fibula plate, crossing the fibular into the tibia, with 1 or more screws proximal to the incisura. We compared the outcomes of these 2 techniques. Method: A retrospective review identified 68 patients aged over 60 years with unstable ankle fractures, treated with IMN or FPT. Primary outcome was surgical reoperation/revision rate, secondary outcomes included complications, length of stay, and functional status. Results: There were no significant differences in demographics between IMN and FPT. Revision rates were higher in IMN compared with FPT ( P < .0001). IMN patients postoperatively had longer hospital stays ( P = .02), longer follow-up times ( P = .008), and higher rates of delayed wound healing ( P = .03) and nonunion ( P = .001). Multivariate analysis identified fixation and age to affect revision rates. Conclusion: Outcomes were worse in the IMN group compared with FPT. We believe both techniques have a role in the management of elderly ankle fractures, but patient selection is key. We suggest that FPT should be the first-choice technique when soft tissues permit. Levels of Evidence: Level III

scholarly journals Fibula-pro-tibia in plating tibial non-unions

2011 ◽  
Vol 35 (11) ◽  
pp. 1713-1718 ◽  
Author(s):  
Galal Z. Said ◽  
Mohammad M. El-Sharkawi ◽  
Hatem G. Said ◽  
Omar A. Refai
Keyword(s):  
Fibula Pro Tibia

Salvage Technique for Treatment of Periplafond Tibial Fractures: The Modified Fibula-Pro-Tibia Procedure

2003 ◽  
Vol 24 (3) ◽  
pp. 228-232 ◽  
Author(s):  
James K. DeOrio ◽  
Anthony W. Ware
Keyword(s):  
Bone Grafting ◽  
Iliac Crest ◽  
Distal Tibia ◽  
Lower Leg ◽  
Tibial Fractures ◽  
Iliac Crest Bone Grafting ◽  
Nonunion Site ◽  
Fibula Pro Tibia ◽  
Tibial Cortex ◽  
Buttress Plate

We describe a technique of fixation for treatment of distal tibia periplafond fractures and nonunions that uses a modification of the principle of the fibula-pro-tibia procedure (fusing the tibia and fibula together to create a one-bone lower leg). The fibula is plated, and the screws are brought across to the medial tibial cortex. The procedure is accomplished with or without a tibial buttress plate and always includes iliac crest bone grafting of the nonunion site and synostosis. We have used this technique in five patients with satisfaction.

Sign in / Sign up

Export Citation Format

Share Document