[Frequency and Severity of Callus Defects. Dorsomedial Vs Ventrolateral Approach for Corticotomy in Performing Callus Distraction of the Tibia]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2005 May 3

PMID 15864544

Citations 1

Authors

C Heiss

S A Meissner

C Meyer

J Pfeil

R Schnettler

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to compare a dorsomedial to the ventrolateral approach for corticotomy in performing callus distraction of the proximal metaphyseal tibia.

Patients And Methods: A total of 31 callus distractions were performed in 28 humans. The ventrolateral approach was used for 18 and the dorsomedial approach for 13 corticotomies. A scale of four severity grades was used to classify callus defect zones based on their extent as evidenced on serial X-rays. Biopsies were taken from higher-grade defects (grades 3-4).

Results: A total of 13 radiological evaluations revealed 12 defects using the ventrolateral approach. Seven defects (grades 1-2) healed spontaneously, whereas six defects (grades 3-4) required operative intervention as histological tissue examination showed no osteogenic potential.

Conclusion: To prevent callus defects of the proximal tibia in the future and to ensure maximal osteogenic potential in the distraction zone, a minimally invasive dorsomedial approach appears to achieve favorable results.

Citing Articles

[Implantation of bone substitutes for tibial head fractures].

Heiss C, Schieker M, Schnettler R Unfallchirurg. 2008; 111(8):621-7.

PMID: 18704541 DOI: 10.1007/s00113-008-1463-3.

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