2004, Number 5
Acta Ortop Mex 2004; 18 (5)
Pseudoarthrosis of tibia at level proximal methaphysis, treated with double plate (four cases report)
Enríquez-Castro JA, López VA, García HA, Cedillo SA, Guevara HG, Correa DG
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ABSTRACTIntroduction. The pseudoarthrosis of tibia at level proximal metaphysis is strange and of difficult treatment. Objective. To give to know the experience in the treatment of the pseudoarthrosis proximal metaphysis of tibia. Material and method. This is a study retrospective carried out in the General Hospital of Mexico, we present 4 cases seen between 1998 and 2003. Two men and two women, with ages between 26 and 82 years old. They were carried out treatment with double plate, one in “L” or “T” and a narrow DCP and use of screws 6.5 and 4.5 mm of diameter, as well as allograft bone. Results. They were three pseudoarthrosis of tibia right and one in the left, two of type hypertrophic and two hypotrophics. The principles biomechanics compression and protection were used in a patient, support and protection in three. Allograft was applied all the patients. The consolidation was obtained in the 4 patients in an average of 6.5 months, being observed callus from the 2.5 months. The mobility was normal in three patients and in one the flexion was limited from 0 to 100º. The march was functional in all. A fistule was presented in a patient which had an infectious process from toward 12 years. Case 2. Conclusions. The use of double plate is an useful tool for the treatment of the pseudoarthrosis of proximal metaphysis of tibia.