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  • Title: The transtibio-fibular graft in the treatment of pseudarthrosis of the tibia with loss of bone substance.
    Author: Ruggieri F, Zinghi GF, Specchia L.
    Journal: Ital J Orthop Traumatol; 1984 Dec; 10(4):439-48. PubMed ID: 6398322.
    Abstract:
    The transtibio-fibular graft is the treatment of choice in pseudarthrosis of the tibia with significant loss of bone, particularly in the presence of infection or potential infection. A personal series of 28 cases is reported. The method consists of stabilizing the pseudarthrosis, usually after radical surgical cleansing, by applying the grafts through healthy tissues from a postero-lateral approach. The authors stress that this operation is only called for when the amount of bone loss is substantial. In the less severe cases the operation restores sufficiently strong union to prevent future fatigue fractures, whilst even in cases of more extensive bone loss it still offers an excellent prospect of avoiding such possible future complications.
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