| Autor: |
Assayag MJ; Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, NY, USA., Bor N; Department of Orthopaedic Surgery, Emek Medical Center, Afula, Israel.; Faculty of Medicine, Department of Orthopaedic Surgery, Technion, Haifa, Israel., Rubin G; Department of Orthopaedic Surgery, Emek Medical Center, Afula, Israel., Rozbruch SR; Faculty of Medicine, Department of Orthopaedic Surgery, Technion, Haifa, Israel. |
| Abstrakt: |
A poor soft tissue envelope often accompanies periprosthetic tibia fracture around a well-fixed total knee arthroplasty and the tibial stem leaves little room for screw fixation. This article describes the practicability and effectiveness of a novel surgical technique using circular hexapod external fixation, in patients with this clinical scenario. It was applied for fixation of periprosthetic tibia fracture in 2 patients. Contact between the external fixation pins and the prosthesis was avoided. Using a web-based software program, a gradual reduction in all planes was achieved. Adequate fixation, stability, reduction, and quick healing were obtained in the 2 cases, with minimal complications. The patients returned to their activity level a few months after external fixation removal. |
