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<p>Retrograde intramedullary nailing of the tibia is not a&#xa0;routine clinical procedure but is a&#xa0;valuable treatment option in special cases, such as pseudarthrosis in the presence of a&#xa0;knee endoprosthesis. This article reports on a&#xa0;61-year-old female patient with a&#xa0;grade III open fracture of the lower leg with complex vascular and soft tissue injuries and failure of the docking site to heal after repeated callus distractions and plate osteosynthesis. Successful surgical treatment included retrograde tibial nailing with cancellous bone grafting for complete bony consolidation and good functional recovery.</p>

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Revisionsosteosynthese mittels retrograder Tibianagelung bei komplexer Unterschenkelfraktur mit Pseudarthrose nach Kallusdistraktionen

  • 期刊论文

  • 发表日期：

    2025年8月27日

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  • Ismail Sahan,
  • Mergim Shabani,
  • Katrin Schall,
  • Christof Meyer

摘要

Retrograde intramedullary nailing of the tibia is not a routine clinical procedure but is a valuable treatment option in special cases, such as pseudarthrosis in the presence of a knee endoprosthesis. This article reports on a 61-year-old female patient with a grade III open fracture of the lower leg with complex vascular and soft tissue injuries and failure of the docking site to heal after repeated callus distractions and plate osteosynthesis. Successful surgical treatment included retrograde tibial nailing with cancellous bone grafting for complete bony consolidation and good functional recovery.