ArticleJournal of orthopaedic case reports2025
Tibialization of Fibula in an Implant Failure Non-Union Poliotic Limb: A Case Report.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Non-union of long bone fractures, particularly of the tibia, presents considerable challenges due to poor vascularity, minimal soft-tissue coverage, and complications such as implant failure or infection from previous surgeries. Tibialization of the fibula remains a viable, though underreported, technique for addressing such complex cases. Case Report: We report a case of a 26-year-old male with a history of poliomyelitis who presented with non-union of the left tibia following implant failure. Clinical evaluation revealed 4 cm limb shortening and varus deformity. Radiographs showed a broken 4.5 mm limited contact dynamic compression plate and multiple loosened screws. Given the intact fibula and adequate vascular and soft-tissue status, the Huntington method for tibialization was selected. The surgical approach included implant removal, debridement of non-union margins, and medial transfer of the fibula using anterolateral and lateral approaches. Postoperatively, the patient experienced transient vascular compromise, which resolved without intervention. At 6 months, radiographs confirmed proximal tibiofibular union, and the patient had regained functional mobility. Conclusion: Fibular tibialization using the Huntington procedure offers a low-complexity, implant-sparing solution for managing tibial non-union, especially in patients with compromised bone and soft-tissue conditions. This case demonstrates favorable outcomes with minimal complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.