New Surgical Technique: Dorsal Osteosynthesis Approach for Tibial Defect Reconstruction

The new dorsal osteosynthesis (reconstruction) approach was developed to reduce the risks of plate exposure, infection, and early removal in difficult cases such as Gustilo–Anderson type IIIB or C open tibial fractures and Cierny–Mader type III and IV chronic osteomyelitis. The advantages of this method are that the reconstruction with microvascular or pedicle fibula flaps and plating can be done through healthy noncompromised posterior compartment—no separate incision for osteosynthesis or flap insertion is needed.

• References

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