Tibialization of the fibularis a procedure that requires medialization of the fibular in whole or in part to replace the function of the tibia. This could be as a result of large tibia defect due to trauma, infection or congenital loss. We report two cases of tibialization of the fibularby modifying the Huntington's procedure. Only one stage of the procedure was used to tibialize one end of the fibular in each case and then the outcome observed. Patient A is a 32year old man who hadinfected fragments of remaining right tibiafollowing gunshot injury a year prior to presentation. He underwent excision of sinus riddled skin and scars and excision of the infected segment, and tibialization of the proximal end of the fibular to the distal end of the proximal tibia prepared for it while still maintaining its natural articulation on the distal tibiofibular joint. He also had flap cover and skin grafting. Tibialization and fibular hypertrophy was noted over 1year to4year period. Patient B is a 50year old woman who was a victim of motorcycle crash. She sustained Gustillo and Anderson type 3B open distal lefttibia fracture withmuscle andskin loss. She was resuscitated and underwent an emergency tibialization of the fibular, had muscle advancement flap cover and skin grafting.Follow up for 3years showed fibular hypertrophy and painless ambulation. Conclusion: Modification of Huntington's procedure is effective in the treatment of tibial bone gap.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.