Thrombosis of the tibial artery associated with simultaneous fractures of the femur, tibia, and fibula. Report of a case.
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An evaluation of 300 high tibial osteotomies in 285 patients showed that the more distal the fibular osteotomy the longer the union time. The union time of the tibial osteotomy was unaffected by the site of the fibular osteotomy, but union was most rapid in both when staples were used. Most complications in curved osteotomy occurred when the fibular osteotomy was performed 15 cm below the fibular head. In wedge osteotomy loosening of the staples used for fixation was the most frequent complication.
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Rheograms of the shin have shown a decrease and asymmetry of the specific blood flow, less elasticity of arteries, less velocity of their blood filling in patients with malformations of the fibular bone. At early terms after reconstructive operations the elasticity of arteries improved, the arterial tone decreased, the velocity of blood filling of the arteries on the shin operated upon increased. At later terms the parameters of elasticity and venous outflow remained normal, the arterial distension increased.
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