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J Reconstr Microsurg Open 2016; 01(01): 048-052
DOI: 10.1055/s-0035-1570532
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

New Surgical Technique: Dorsal Osteosynthesis Approach for Tibial Defect Reconstruction

Dzintars Ozols
1   Department of Hand and Plastic Surgery, Microsurgery Centre of Latvia, Riga East University Hospital, Riga, Latvia
2   Riga Stradiņš University, Riga, Latvia
,
Karlis Verdins
1   Department of Hand and Plastic Surgery, Microsurgery Centre of Latvia, Riga East University Hospital, Riga, Latvia
,
Janis Zarins
1   Department of Hand and Plastic Surgery, Microsurgery Centre of Latvia, Riga East University Hospital, Riga, Latvia
2   Riga Stradiņš University, Riga, Latvia
› Institutsangaben
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Publikationsverlauf

16. Juli 2015

27. September 2015

Publikationsdatum:
21. Januar 2016 (online)

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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.

 

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