Tibial Shaft Fractures (Subscribe)  

Lower leg fractures include fractures of the tibia and fibula. Of these two bones, the tibia is the only weightbearing bone. Fractures of the tibia generally are associated with fibula fracture, because the force is transmitted along the interosseous membrane to the fibula. The skin and subcutaneous tissue are very thin...

OTA 2004 Paper (Fasciotomy, Closed Fracture, Grade IIIb/IIIc Open Fracture, and Amputation)

Wheeless IM naling of these fractures is technically difficult and often results in malalignment; surgeons without strong enthusiasm for nailing these fractures should consider lateral plating (for closed fractures)and external fixation for open fractures

Orthopedics 08/06/2000 (Volume 23, Number 8) Interlocking Intramedullary Nailing in Distal Tibial Fractures Tyllianakis M, Megas P, Giannikas D, Lambiris E Orthopedics. 2000;23(8):805-808 The management of distal tibial fractures remains challenging. Despite an earlier report from very well-respected fracture surgeons showing excellent results from interlocking nailing, this option is still usually not considered.[1] Although patients...

More than 20 years ago, the Strasbourg Trauma Centre group, then headed by Ivan Kempf, developed locked intramedullary nailing. Arsène Grosse was chiefly involved with this technique, which was eventually adopted world-wide and which has revolutionized the treatment of limb shaft fractures. Maîtrise Orthopédique met this surgeon who has dedicated...

Surgeons have been grappling with the problem of severe lower extremity injuries for more than a century. This author, Dr. Matthew L. Jiminez, Illinois Bone and Joint Institute, presented a review of the literature, decision-making process, and scoring systems for complex lower extremity injuries at the second annual Chicago Trauma...

Medscape 2000 Locking and Poller Screws For fractures located in the metaphysis of the proximal or distal tibia, intramedullary nailing achieves less fracture site stability than nailing of diaphyseal fractures. This is caused by the decreased contact between the nail and the endosteal surface of the tibia. This, in turn, places more...

Treatment of low energy tibial shaft fractures: Plaster cast vs Intramedullary nailing. Thesis 2001 University of Tampere, Finland

accetable reduction:
- more than 50% of cortical overlap;
-> 10 deg of angulation in any plane is unacceptable
- <5 deg of varus or valgus;
- <10 deg of anterior or posterior angulation;
- <10 deg of rotation;
- <1 cm for leg length discrepancy;
- no...

OTA 2002 - Session 3 Session III - Polytrauma Fri., 10/11/02 Polytrauma, Paper #15, 3:50 PM Management of Open Fractures of the Lower Extremity: Do Timing of Operative Treatment and Primary Wound Closure Really Matter? Michael T. Rohmiller, MD ; Sharat Kusuma, BS, MBA; Gordon M. Blanchard, MD; John R. Edwards,...

OTA Paper 1998

Classification and management of tibial nonunion
definition: no evidence of healing over 3 months;
- FDA definition: frx that is over 9 months old and that has not shown radiographic signs of progression toward healing for 3 consecutive months;
...

Tibial fractures are often open due to most of the anterior border of the shaft being subcutaneous. The wound must be inspected in the trauma ward and then covered with a sterile dressing. A broad spectrum antibiotic is given (first generation cephalosporin plus amiloglycocide if very contaminated) Prophylaxis against tetanus...

Medscape Abstract 2000

Plating Of Displaced Mid-Tibial Fractures - A Retrospective Review Of 80 Cases S Singh, K C Ng, P Chia Singapore Medical Journal ABSTRACT We present a 2-year retrospective review and study of 80 patients admitted to our department with displaced mid-tibial fractures and treated by plate-fixation. This review paid...