A Failed Tibial Osteotomy - The Influence of Bone Mineral Substituent

Abstract:

In surgical experiences of the fractures of the proximal tibia, which are named tibial plateau fractures, with important damage of the articular surfaces of the tibia is very important to realise a correct reduction and an adequate osteosinthesys . But in real time this is a very difficult aim, because the correct reduction by various methods, induced an important bone deficiency. This is the principal aspect of the proximal tibial reconstruction, because this reconstruction s essential for the stability of the implant, for the correct reduction, for the correct allignemment of lower limb and for the reduction of the malunions results, for the abnormal consolidations and for devloppemment of the ostheoarthritis of the knee.We have two posibilities to reduce the bone gap - with bone grafts , by collaboration with the National Bone Bank , or by using a bone substituent - a new method of reconstruction.In our opinion, the bone graft is the perfect solution for recent fracture and the bone substituent is indicated for the severe difformities secondaries of articular surface.

• Periodical: Applied Mechanics and Materials (Volume 467)
• Pages: 445-447
• DOI: https://doi.org/10.4028/www.scientific.net/AMM.467.445
• Online since: December 2013
• Authors: Catalin Cirstoiu, Razvan Ene, Dan Popescu, Monica Cîrstoiu
• Keywords: Fracture, Mineral Substituent, Osteotomy

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