title: Salvage technique for treatment of periplafond tibial fractures: the modified fibula-pro-tibia procedure.
abstract: We describe a technique of fixation for treatment of distal tibia periplafond fractures and nonunions that uses a modification of the principle of the fibula-pro-tibia procedure (fusing the tibia and fibula together to create a one-bone lower leg). The fibula is plated, and the screws are brought across to the medial tibial cortex. The procedure is accomplished with or without a tibial buttress plate and always includes iliac crest bone grafting of the nonunion site and synostosis. We have used this technique in five patients with satisfaction.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: James K
authors.initials: JK
authors.lastname: DeOrio
authors.forename: Anthony W
authors.initials: AW
authors.lastname: Ware
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001174:Arthrodesis / Q000379:methods; D001860:Bone Plates; D005260:Female; D005360:Fibula / Q000601:surgery; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016879:Salvage Therapy; D013580:Synostosis / Q000601:surgery; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*