Tibial Shaft Fractures (Subscribe)  

OTA Paper 2004: Does Digital Radiography Contribute to a More Accurate Measurement?

Proximal Tibia Fractures
In several recent publications, malalignment, delayed union and nonunion have been noted in fractures of the proximal one third of the tibia when these fractures have been treated with intermedullary nailing. In separate publications, Lang and associates[1] and Johnson and colleagues.[2] encountered multiple problems after intermedullary nailing...

The proximal tibia section of the AO Surgery Reference. The whole surgical management described, including decision-making support, approaches, and surgical procedures. Highly Reputable

OTA paper 1998
Conclusions: There is evidence from a pooled analysis of randomized trials that reamed IM nailing of lower extremity long bone fractures significantly reduces rates of nonunion and implant failure.

Medscape (2000)

Conclusion: We have found the technique described here to be a reliable means to reconstruct bone loss following an acute tibial shaft fracture.
OTA paper 1998

Tejwani NC, Achan P. Bull Hosp Jt Dis. 2004;62(1-2):62-6
High-energy proximal tibia fractures are complicated by soft tissue compromise and this may result in sub-optimal outcomes. There is a high association of open injuries, compartment syndromes, and vascular injuries with these bony disruptions. Surgical treatment of these injuries has been associated...

Conclusion: Tibial nailing places the medial meniscus and lateral articular surface at risk. In some knees the safe zone is smaller than commonly used reamers. The ideal location for portal placement is 9 mm lateral to the midline and 3 mm lateral to the center of the tibial tubercle. The...

The tibia shaft section of the AO Surgery Reference. The whole surgical management described, including decision-making support, approaches, and surgical procedures. Highly Reputable

Discusion on ORT-L list
49 yo college professor s/p right proximal tibia fx w/ compartment syndrome. Pt had fasciotomies, ex-fix and delayed percutaneous plating laterally w/ LISS. He had late deep infection at 6 mos and plate removed and fx appeared healed at time. Pt had some varus and deformity, but...

18th Annual Meeting of the Orthopaedic Trauma Association New-generation tibial nails incorporate multiple holes in different planes in order to maximize options for interlocking and allow nailing of fractures near the proximal and distal ends of the tibia. Russell Weisz, MD,[25] from Tampa General Hospital in Tampa, Florida, presented "Distal Fourth...

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Case presentation
53 y/o male, had trauma 20 years ago. Now has tibial diaphysis malunion of 12 degrees varus and 14 deg. of retroversion. At present the problem is knee medial compartment osteoarthrosis due tibial malposition. What would you do in this case?

An understanding of the diagnosis and treatment of tibial shaft fractures is of importance to primary care physicians and orthopedic surgeons alike. Often, the primary care provider first comes into contact with tibial shaft fractures and must make the diagnosis and early treatment decisions. High-speed lifestyles with motor vehicles, snowmobiles,...

Account of case, discussion and five year follow-up from the patient.