• Der Unfallchirurg · Jun 2005

    Case Reports

    [Reconstruction of the tibial diaphysis with transfer of the tibial head onto the proximal fibula. Follow-up after 63 years].

    • A Marx, J Pförtner, and G Saxler.
    • Klinik und Poliklinik für Orthopädie, Universität, Duisburg-Essen. axel.marx@uni-essen.de
    • Unfallchirurg. 2005 Jun 1; 108 (6): 503506503-6.

    AbstractOsteoarthritis of the knee is often diagnosed in the orthopedic trauma practice. One major cause is axial deformity with overload. In the case presented here osteomyelitis of the tibial diaphysis developed in childhood. Surgical treatment consisted of resection of the middle tibial third and transferring the tibial head onto the proximal fibula. In this way it was possible to eradicate the osteomyelitis of the lower leg and to achieve osseous consolidation between the tibia and fibula. Despite the significant shortening of the lower limb and the varus axial deformity, the knee joint function was satisfactory in the subsequent development. After a long interval without symptoms the patient developed a medially accentuated osteoarthritis of the knee.

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