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"Ankle-Sparing Bone Transport Effective For Periarticular Distal Tibial Nonunions" - Monica Jaramillo

  • Healio: Orthopedics Today
  • New York, NY
  • (June 18, 2018)

The ankle-sparing bone transport approach was effective for the treatment of periarticular distal tibial nonunions and was considered safe for patients with infected nonunions that were close to the ankle joint. “To date, no ideal treatment has been identified as no surgical procedure has a 100% long-term success,” said Ettore Vulcano, MD, assistant professor of orthopedics at the Icahn School of Medicine at Mount Sinai and orthopedic surgeon at Mount Sinai West. “What got me thinking about finding a different way to address this problem was that I noticed that patients with an osteochondral defect found on MRIs taken for other reasons with no ankle pain had no bone bruising or marrow edema on the MRI. I therefore thought of injecting calcium phosphate cement into the affected bone underlying the cartilage defect to get rid of that bone bruising. Surprisingly the procedure worked in over 90 percent of patients.”

- Ettore Vulcano, MD, Assistant Professor, Orthopedics, Icahn School of Medicine at Mount Sinai, Orthopedic Surgeon, Mount Sinai West

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