[Ortho] crush distal ttibia

[W.P.Zuidema]

Dear collegae,
 
With this  bad soft tissue I would opt for a staged approach. First uni lateral ex fix for stabilization untill soft tissue injury calms down. Than you still have the option if the soft tissues improve to perform a intra -medullairy osteosynthesis of the tibia and a thick k-wire in de distal fibula. Or in case of continuing bad soft tissue , transform your ex fix into a hybrid ex fix..
 

succes

W.P.Zuidema, trauma-surgeon

dept. of Trauma-surgery

VU Medical Center

De Boelelaan 1117

1081 HV Amsterdam

The Netherlands
W.P.Zuidema