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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 12, 1627-1630.
doi: 10.1302/0301-620X.90B12.21378  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Medial transport of the fibula using the Ilizarov device for reconstruction of a massive defect of the tibia in two children

A. E. Shiha, MD, Professor of Orthopaedic Surgery1; A. R. H. Khalifa, MD, Lecturer in Orthopaedic Surgery1; Y. M. Assaghir, MD, Lecturer in Orthopaedic Surgery1; and M. O. Kenawey, MSc, Assistant Lecturer in Orthopaedic Surgery1

1 Department of Orthopaedic Surgery, Faculty of Medicine Sohag University, 82524 Sohag, Egypt.

Correspondence should be sent to Dr M. O. Kenawey; e-mail: mohamed_kenawey{at}yahoo.com

We present two children with massive defects of the tibia and an associated active infection who were treated by medial transport of the fibula using the Ilizarov device. The first child had chronic discharging osteomyelitis which affected the whole tibial shaft. The second had sustained bilateral grade-IIIB open tibial fractures in a motor-car accident. The first child was followed up for three years and the second for two years. Both achieved solid union between the proximal and distal stumps of the tibia and the fibula, with hypertrophy of the fibula. The first child had a normal range of movement at the knee, ankle and foot but there was shortening of 1.5 cm. The second had persistent anterior angulation at the proximal tibiofibular junction and the ankle was stiff in equinus.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General