Case report demonstrates healing of nonunions in the lower tibia using tibiocalcaneal nailing and compression plating.
Nonunion of the lower third of the tibia presents unique problems. All standard orthopedic treatment for these fractures should be attempted to acquire union. In some cases, whether infection is present or not, union does not occur using standard treatments and techniques. An alternative method utilizing the basic principles of ASIF is described, involving tibiocalcaneal nailing from the proximal tibia into the base of the calcaneus. Control of rotation is by use of an ASIF plate under axial compression. This is used with supplemental autogenous bone grafting. Two cases of infected nonunions that went on to union using this method are presented.
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KREMPEN et al. (1982) studied this question.
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