title: [Callus distraction in tibial defect fractures].
abstract: Lower leg fractures with an osseous defect can be treated effectively with the callus distraction technique by Bier-Ilizarov. Because osteocytes are cultivated at the site of the defect, a real biological system is working-in contrast to other methods. Especially in lower leg fractures with a denuded tibia, the technique of primary shortening to cover the soft-tissue defect with subsequent compensatory lengthening by callus distraction is valuable. This technique does not need special hospitals but skillful surgeons. A closed surgeon-patient relation ship is required because most treatments are done on an outpatient basis. The cosmetic and functional results are good.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, Krankenhäuser des Märkischen Kreises, Lüdenscheid.
authors.forename: G
authors.initials: G
authors.lastname: Giebel
mesh_terms: D001852:Bone Lengthening / Q000295:instrumentation*; D002146:Bony Callus / Q000000981:diagnostic imaging / Q000601:surgery; D017102:Fracture Healing / Q000502:physiology*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*