Haspl M, Jelić M, Pećina M
Department of Orthopaedic Surgery, School of Medicine, University of Zagreb, Croatia.
Acta Chir Orthop Traumatol Cech. 2003;70(5):303-5.
The authors describe two cases of severely angulated tibial non-unions after proximal tibia stress fractures associated with ipsilateral osteoarthritis treated with modular knee endoprosthesis with a long tibial stem to stabilize non-union fragments. During the procedure, no additional osteosynthesis or bone grafting was added. Both non-unions healed after 6 months with no post-operative complications. The authors suggest implantation of modular knee endoprosthesis, as a single procedure, in treatment of proximal tibia non-union after a stress fracture as a result of severe varus/valgus deformity. It provides a solution for osteoarthritis treatment, axis correction and non-union osteosynthesis.
作者描述了两例胫骨近端应力性骨折后严重成角的胫骨不愈合病例，这些病例伴有同侧骨关节炎，采用带长胫柄的模块化膝关节假体治疗以稳定不愈合骨折块。手术过程中，未进行额外的骨固定或植骨。两例不愈合均在6个月后愈合，无术后并发症。作者建议将模块化膝关节假体作为单一手术用于治疗因严重内翻/外翻畸形导致的应力性骨折后胫骨近端不愈合。它为骨关节炎治疗、轴线矫正和不愈合骨固定提供了一种解决方案。
