Flap and frame for the treatment of open or infected tibial plateau fracture
Introduction: Wound secondary to open fracture or infection in the tibial plateau frequently results in an exposed bone. Gastrocnemius flap in combination with circular frame are ideal method for bone coverage and stabilising the fracture. It allows control of infection and at the same time the knee...
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| Format: | Proceeding Paper |
| Language: | English English |
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SICOT: The World Orthopaedic Organisation
2018
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| Online Access: | http://irep.iium.edu.my/68596/ http://irep.iium.edu.my/68596/1/49789%20nazri%20e%20poster.pdf http://irep.iium.edu.my/68596/2/SICOT%20Orthopaedic%20World%20Congress%202018%2C%20Montreal%2C%20Canada%20-%20ABSTRACT%20DECISION.pdf |
| _version_ | 1848786969883049984 |
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| author | Mohd Yusof, Nazri |
| author_facet | Mohd Yusof, Nazri |
| author_sort | Mohd Yusof, Nazri |
| building | IIUM Repository |
| collection | Online Access |
| description | Introduction: Wound secondary to open fracture or infection in the tibial plateau frequently results in an exposed bone. Gastrocnemius flap in combination with circular frame are ideal method for bone coverage and stabilising the fracture. It allows control of infection and at the same time the knee to be mobilised. Methods: From 2006 till 2018 we treated 11 patients with local flap and circular frame. There were 7 males and 4 females with mean age of 37.4 years old (range 13 to 60). Nine were due to open fractures while 2 due to infection following plating. Six wound were closed with gastrocnemius muscle flap and 5 with gastrocnemius myocutaneous flap. In 3 patients, bone transport was used to reconstruct the bone defect.
Results: Nine patients achieved union and control of infection with mean union time of 6 month (range 4 to 15). One patient had bad pin site infection and opted for removal of frame. Conclusions: Local flap with circular frame is an option to treat open or infected tibialplateau fracture. Pin sites infection may be a serious complication which requires frame removal |
| first_indexed | 2025-11-14T17:17:29Z |
| format | Proceeding Paper |
| id | iium-68596 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:17:29Z |
| publishDate | 2018 |
| publisher | SICOT: The World Orthopaedic Organisation |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-685962018-12-20T04:14:00Z http://irep.iium.edu.my/68596/ Flap and frame for the treatment of open or infected tibial plateau fracture Mohd Yusof, Nazri RD701 Orthopedics Introduction: Wound secondary to open fracture or infection in the tibial plateau frequently results in an exposed bone. Gastrocnemius flap in combination with circular frame are ideal method for bone coverage and stabilising the fracture. It allows control of infection and at the same time the knee to be mobilised. Methods: From 2006 till 2018 we treated 11 patients with local flap and circular frame. There were 7 males and 4 females with mean age of 37.4 years old (range 13 to 60). Nine were due to open fractures while 2 due to infection following plating. Six wound were closed with gastrocnemius muscle flap and 5 with gastrocnemius myocutaneous flap. In 3 patients, bone transport was used to reconstruct the bone defect. Results: Nine patients achieved union and control of infection with mean union time of 6 month (range 4 to 15). One patient had bad pin site infection and opted for removal of frame. Conclusions: Local flap with circular frame is an option to treat open or infected tibialplateau fracture. Pin sites infection may be a serious complication which requires frame removal SICOT: The World Orthopaedic Organisation 2018-10 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/68596/1/49789%20nazri%20e%20poster.pdf application/pdf en http://irep.iium.edu.my/68596/2/SICOT%20Orthopaedic%20World%20Congress%202018%2C%20Montreal%2C%20Canada%20-%20ABSTRACT%20DECISION.pdf Mohd Yusof, Nazri (2018) Flap and frame for the treatment of open or infected tibial plateau fracture. In: SICOT Orthopaedic World Congress 2018, Montreal, Canada, 10-13 October 2018, montreal, canada. (Unpublished) http://www.sicot.org/about-sicot |
| spellingShingle | RD701 Orthopedics Mohd Yusof, Nazri Flap and frame for the treatment of open or infected tibial plateau fracture |
| title | Flap and frame for the treatment of open or infected tibial plateau fracture |
| title_full | Flap and frame for the treatment of open or infected tibial plateau fracture |
| title_fullStr | Flap and frame for the treatment of open or infected tibial plateau fracture |
| title_full_unstemmed | Flap and frame for the treatment of open or infected tibial plateau fracture |
| title_short | Flap and frame for the treatment of open or infected tibial plateau fracture |
| title_sort | flap and frame for the treatment of open or infected tibial plateau fracture |
| topic | RD701 Orthopedics |
| url | http://irep.iium.edu.my/68596/ http://irep.iium.edu.my/68596/ http://irep.iium.edu.my/68596/1/49789%20nazri%20e%20poster.pdf http://irep.iium.edu.my/68596/2/SICOT%20Orthopaedic%20World%20Congress%202018%2C%20Montreal%2C%20Canada%20-%20ABSTRACT%20DECISION.pdf |