title: [Combined plastic bridging of a post-traumatic osseous defect of the tibia in the sense of compound osteosynthesis in elderly patients (author's transl)].
abstract: The article presents a woman (now 82 years of age) in whom adjustment osteotomy had been performed in order to cope with her proximal fracture of the tibia which had healed in varus position after conservative therapy. After absorption of the bone wedge and loosening of the osteosynthesis material, the defect was filled with bone cement with embedded screws and plates. Three years later, the patient returned for treatment with completely loosened Palacos seal which had perforated distally through the skin and rather broadly. Besides pseudarthrosis, there was also a marked arthrosis of the knee joint. The patient was re-operated, bridging the defect by means of Fracto nets and a bolted Placos seal into which a Sheehan's knee was inserted.
mesh_terms: D000368:Aged; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis; D011183:Postoperative Complications / Q000601:surgery; D011542:Pseudarthrosis / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*
vernacular_title: Kombinierte plastische Uberbrückung eines posttraumatischen Knochendefektes der Tibia im Sinne einer Verbundosteosynthese bei älterem Patienten.