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Transverse Incision for the Management of Infected Non-Unions of Tibia
Director and Head Department Orthopaedics, Al-Haj Professer Mussa Wardak Hospital, Kabul, Afghanistan
Consultant Orthopaedic Surgeon Wazir Akbar khan Goverment Hospital, Kabul, Afghanistan
Resident, Al-Haj Professer Mussa Wardak Hospital, Kabul, Afghanistan
- 1 Director and Head Department Orthopaedics, Al-Haj Professer Mussa Wardak Hospital, Kabul, Afghanistan
- 2 Consultant Orthopaedic Surgeon Wazir Akbar khan Goverment Hospital, Kabul, Afghanistan
- 3 Resident, Al-Haj Professer Mussa Wardak Hospital, Kabul, Afghanistan
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Abstract
We are describing a transverse incision that we have found very useful in performing surgical procedures where the fractured site needs freshening, excision of the necrotic bones or shortening. Operative procedures using this technique have been extensively used by us since 1980 and we have registered 1187 cases with average follow up of 10 years. The incision is transverse and can be performed in any part of leg and extends from 1 cm lateral to anterior border of the tibia and runs medially till 1 cm medial to medial border of tibia. The incision allows adequate visualization of the interested area, less of periosteal stripping, ease of closure, no post operative wound dehiscence and cosmetically very much acceptable.
KeywordsTransverse IncisionInfected NonunionsIlizarov
- M. M. Wardak and A. R. Seyawash, “Role of Extrafocal Osteosynthesis in Modern Orthopaedics and Traumatolgy,” Academy of Sciences of Republic of Afghanistan, Kabul, 1989.
- M. P. Magadum, C. M. Basavaraj Yadav, M. S. Phaneesha and L. J. Ramesh, “Acute Compression and Lengthening by the Ilizarov Technique for Infected Nonunion of the Tibia with Large Bone Defects,” Journal of Orthopaedic Surgery, Vol. 14, No. 3, 2006, pp. 273-279.
- A. H. R. W. Simpson, C. Andrews and H. Giele, “Skin Closure after Acute Shortening, Journal of Bone and Joint Surgery, Vol. 83, No. 5, 2001, pp. 668-671. doi:10.1302/0301-620X.83B5.11585
- J. L. Marxen and D. L. Osterfeld, “The Cincinnati Incision: A Comprehensive Approach for Surgical Procedures of the Foot and Ankle in Childhood,” Journal of Bone and Joint Surgery, Vol. 64, No. 9, 1982, pp. 1355-1358.