Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature
Pediatric tibial nonunion following corrective osteotomy is a rare complication that is not well understood. While adult nonunions have been linked to endocrine and metabolic aberrations, this has not been established in a pediatric population. Pediatric tibial nonunion has been shown to respond to...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2020-01-01
|
Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2020/8889066 |
id |
doaj-7b748bd5904e4fd1b44f9209560b1f6e |
---|---|
record_format |
Article |
spelling |
doaj-7b748bd5904e4fd1b44f9209560b1f6e2020-11-25T03:23:35ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88890668889066Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the LiteratureGautham Prabhakar0Nicholas Kusnezov1Emmanuel Eisenstein2John C. Dunn3Amr Abdelgawad4Department of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USADepartment of Orthopaedics, Maimonides Medical Center, Brooklyn, NY, USAPediatric tibial nonunion following corrective osteotomy is a rare complication that is not well understood. While adult nonunions have been linked to endocrine and metabolic aberrations, this has not been established in a pediatric population. Pediatric tibial nonunion has been shown to respond to debridement with revision fixation using dynamic compression plating, supplementary bone graft, and fibular osteotomy to allow compression. Necessity of referral for metabolic and endocrinology workup remains unclear in the pediatric population, though inflammatory markers should be obtained in each case to rule out infection. We present three consecutive cases of pediatric tibial nonunion following osteotomy over a five-year period and discuss the management.http://dx.doi.org/10.1155/2020/8889066 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gautham Prabhakar Nicholas Kusnezov Emmanuel Eisenstein John C. Dunn Amr Abdelgawad |
spellingShingle |
Gautham Prabhakar Nicholas Kusnezov Emmanuel Eisenstein John C. Dunn Amr Abdelgawad Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature Case Reports in Orthopedics |
author_facet |
Gautham Prabhakar Nicholas Kusnezov Emmanuel Eisenstein John C. Dunn Amr Abdelgawad |
author_sort |
Gautham Prabhakar |
title |
Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature |
title_short |
Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature |
title_full |
Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature |
title_fullStr |
Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature |
title_full_unstemmed |
Management of Pediatric Tibial Nonunion following Osteotomy: A Case Series and Review of the Literature |
title_sort |
management of pediatric tibial nonunion following osteotomy: a case series and review of the literature |
publisher |
Hindawi Limited |
series |
Case Reports in Orthopedics |
issn |
2090-6749 2090-6757 |
publishDate |
2020-01-01 |
description |
Pediatric tibial nonunion following corrective osteotomy is a rare complication that is not well understood. While adult nonunions have been linked to endocrine and metabolic aberrations, this has not been established in a pediatric population. Pediatric tibial nonunion has been shown to respond to debridement with revision fixation using dynamic compression plating, supplementary bone graft, and fibular osteotomy to allow compression. Necessity of referral for metabolic and endocrinology workup remains unclear in the pediatric population, though inflammatory markers should be obtained in each case to rule out infection. We present three consecutive cases of pediatric tibial nonunion following osteotomy over a five-year period and discuss the management. |
url |
http://dx.doi.org/10.1155/2020/8889066 |
work_keys_str_mv |
AT gauthamprabhakar managementofpediatrictibialnonunionfollowingosteotomyacaseseriesandreviewoftheliterature AT nicholaskusnezov managementofpediatrictibialnonunionfollowingosteotomyacaseseriesandreviewoftheliterature AT emmanueleisenstein managementofpediatrictibialnonunionfollowingosteotomyacaseseriesandreviewoftheliterature AT johncdunn managementofpediatrictibialnonunionfollowingosteotomyacaseseriesandreviewoftheliterature AT amrabdelgawad managementofpediatrictibialnonunionfollowingosteotomyacaseseriesandreviewoftheliterature |
_version_ |
1715229110587883520 |