Multimorbide Patienten mit schlechten Weichteilverhältnissen: Behandlung distaler Tibiafrakturen mittels retrogradem Tibiamarknagel

S. Loosen; S. Preuss; B. A. Zelle; H. C. Pape; I. S. Tarkin

doi:10.1007/s00113-012-2244-6

Multimorbide Patienten mit schlechten Weichteilverhältnissen: Behandlung distaler Tibiafrakturen mittels retrogradem Tibiamarknagel

Translated title of the contribution: Multimorbid patients with poor soft tissue conditions: Treatment of distal tibia fractures with retrograde intramedullary nailing

S. Loosen, S. Preuss, B. A. Zelle, H. C. Pape, I. S. Tarkin

Department of Orthopaedics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

The appropriate treatment of a distal tibia fracture in multimorbid patients with poor soft tissue and skin conditions, poor peripheral blood supply and osteopenic bone is challenging. In this case report we present two patients with these characteristics. Given these exceptional conditions none of the conventional therapies (e.g. cast, internal plate fixation, external fixation, anterograde intramedullary nailing) appeared feasible. To achieve sufficient fracture healing, we chose an unconventional treatment approach of retrograde tibial nailing with inclusion of the ankle and subtalar joint.

Translated title of the contribution	Multimorbid patients with poor soft tissue conditions: Treatment of distal tibia fractures with retrograde intramedullary nailing
Original language	German
Pages (from-to)	553-558
Number of pages	6
Journal	Unfallchirurg
Volume	116
Issue number	6
DOIs	https://doi.org/10.1007/s00113-012-2244-6
State	Published - Jun 2013

Keywords

Fracture
Intramedullary nail
Retrograde intramedullary nailing
Soft tissue damage
Tibia

ASJC Scopus subject areas

Surgery
Emergency Medicine
Orthopedics and Sports Medicine

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10.1007/s00113-012-2244-6

Cite this

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title = "Multimorbide Patienten mit schlechten Weichteilverh{\"a}ltnissen: Behandlung distaler Tibiafrakturen mittels retrogradem Tibiamarknagel",

abstract = "The appropriate treatment of a distal tibia fracture in multimorbid patients with poor soft tissue and skin conditions, poor peripheral blood supply and osteopenic bone is challenging. In this case report we present two patients with these characteristics. Given these exceptional conditions none of the conventional therapies (e.g. cast, internal plate fixation, external fixation, anterograde intramedullary nailing) appeared feasible. To achieve sufficient fracture healing, we chose an unconventional treatment approach of retrograde tibial nailing with inclusion of the ankle and subtalar joint.",

keywords = "Fracture, Intramedullary nail, Retrograde intramedullary nailing, Soft tissue damage, Tibia",

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AU - Preuss, S.

AU - Zelle, B. A.

AU - Pape, H. C.

AU - Tarkin, I. S.

PY - 2013/6

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AB - The appropriate treatment of a distal tibia fracture in multimorbid patients with poor soft tissue and skin conditions, poor peripheral blood supply and osteopenic bone is challenging. In this case report we present two patients with these characteristics. Given these exceptional conditions none of the conventional therapies (e.g. cast, internal plate fixation, external fixation, anterograde intramedullary nailing) appeared feasible. To achieve sufficient fracture healing, we chose an unconventional treatment approach of retrograde tibial nailing with inclusion of the ankle and subtalar joint.

KW - Fracture

KW - Intramedullary nail

KW - Retrograde intramedullary nailing

KW - Soft tissue damage

KW - Tibia

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Multimorbide Patienten mit schlechten Weichteilverhältnissen: Behandlung distaler Tibiafrakturen mittels retrogradem Tibiamarknagel

Abstract

Keywords

ASJC Scopus subject areas

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