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Ipsilaterale gevasculariseerde fibulatranspositie bij non-union van tibiaschachtfracturen

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  • Origineel artikel
  • Published:
Nederlands Tijdschrift voor Traumatologie

Samenvatting

Open tibiafracturen zijn vaak ernstige letsels die gepaard gaan met een hoger risico op complicaties dan gesloten fracturen. Indien een open tibiafractuur wordt opgelopen in een oorlogssituatie, met slechte toegankelijkheid tot specialistische zorg, worden nog veel vaker complicaties gezien, zoals geïnfecteerde non-union en osteomyelitis. In dit artikel worden drie patiënten gepresenteerd die tijdens de burgeroorlog in Noord-Sri Lanka een open tibiafractuur opliepen. Meer dan een jaar na het trauma werden zij behandeld met een ipsilaterale gevasculariseerde fibulatranspositie. Bij twee van hen kon met deze procedure een onderbeenamputatie worden voorkomen. In dit artikel worden de indicaties, de anatomie en de techniek beschreven.

Abstract

Open tibia fractures are usually complex and associated with an increased risk of complications when compared to closed fractures. When this type of injury is sustained in a combat situation with limited access to health facilities and specialists, the risk for complications is even further increased, especially for infected non-union and osteomyelitis. In this article three patients are presented who sustained an open tibia fracture during the civil war in north Sri Lanka. All of them were treated with an ipsilateral vascularized fibula transposition more than one year after the injury. In two of them this procedure avoided a below the knee amputation. Indications, anatomy and surgical technique are described.

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Author information

Authors and Affiliations

  1. afdeling Chirurgie, Rode Kruis Ziekenhuis, Vavuniya General Hospital, Vavuniya, Sri Lanka

    J.C. Broertjes

  2. afdeling Chirurgie, Rode Kruis Ziekenhuis, Beverwijk, The Netherlands

    R.S. Breederveld & R.J. Derksen

Authors
  1. J.C. Broertjes
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  2. R.S. Breederveld
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  3. R.J. Derksen
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Additional information

aios heelkunde

hiervoor: arts

traumachirurg

Alle operaties zijn uitgevoerd door dr. Masaji Shirokura, orthopedisch en handchirurg, Niigata University Hospital, Japan.

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Broertjes, J., Breederveld, R. & Derksen, R. Ipsilaterale gevasculariseerde fibulatranspositie bij non-union van tibiaschachtfracturen. TIJD. TRAUMATOLOGIE 20, 170–174 (2012). https://doi.org/10.1007/s12506-012-0037-8

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  • DOI: https://doi.org/10.1007/s12506-012-0037-8

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