Soft Tissue and Biomechanical Challenges Encountered with the Management of Distal Tibia Nonunions

Ivan S. Tarkin, Peter A. Siska, Boris A. Zelle

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

A thoughtful treatment algorithm is required to optimally treat distal tibia nonunion. A healthy respect for the tenuous soft tissue envelope, compromised vascularity, and challenging mechanical environment is advisable. Achieving osseous union and improved functionality requires an individualized plan of care based on the personality of the nonunion and host. Attention must be focused on providing mechanical stability at the site of nonunion and providing biologic supplementation.

Original languageEnglish (US)
Pages (from-to)119-126
Number of pages8
JournalOrthopedic Clinics of North America
Volume41
Issue number1
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Keywords

  • Bone morphogenetic protein
  • Distal tibia
  • Malunion bone graft
  • Nonunions
  • Soft tissue management

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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