Management of Osseous Defects in the Tibia: Utilization of External Fixation, Distraction Osteogenesis, and Bone Transport.

Abstract:

:The use of external fixators for distraction osteogenesis has revolutionized treatment options for segmental bone defects in the tibia. Following corticotomy, the latency phase allows the biologic environment to initiate healing, and optimized distraction rates produce regenerate. Regenerate consolidation can be improved with local and systemic biologic optimization. Consolidation time is often considered to be 3 to 4 times longer than distraction in adults. Soft tissue considerations are important during external fixation and distraction. Additionally, slow regenerate can be benefited by various techniques discussed in this article. Distraction osteogenesis is a beneficial tool for segmental bone defects.

journal_name

Clin Podiatr Med Surg

authors

Millonig K,Hutchinson B

doi

10.1016/j.cpm.2020.09.006

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

111-116

issue

1

eissn

0891-8422

issn

1558-2302

pii

S0891-8422(20)30117-8

journal_volume

38

pub_type

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