Background: Tibial diaphyseal fracture is the most common fracture of long bones. In Iran plating and undreamed tibial nailing (UTN) are the most commonly used methods and because of paucity of equipments such as c-arm and reaming sets, the reamed method is rarely used. This study compares these two methods. Methods: In a randomized clinical trial study including 100 patients (78 males, 22 fema...

Tibia is the most commonly fractured long bone in the body with an annual incidence of tibial shaft fractures 2 per 1000 individuals. The use of non-operative treatment of tibial fractures that are widely displaced or that are the result of high-energy forces is associated with a high prevalence of malunion, stiffness of the joint, and poor functional outcome. Closed Tibial diaphyseal fractures...

This report describes a rare case of concomitant ipsilateral pelvic disruption, hip dislocation, a femoral shaft fracture, supra and intercondylar fracture of the femur, and tibial shaft fracture in a young man who suffered a fall from a moving truck. The hip dislocation was reduced under general anaesthesia with a closed procedure. Both femoral shaft and distal femoral fractures were reduced a...

PURPOSE Pediatric tibial shaft fractures are common injuries encountered by the orthopaedic surgeon. Flexible intramedullary nailing has become popular for pediatric patients with tibial shaft fractures that require operative fixation. The purpose of our study was to evaluate the incidence of, and the risk factors for, compartment syndrome (CS) after flexible intramedullary nailing of these inj...

Open fractures of the tibial diaphysis are often associated with severe bone and soft-tissue injury. Contamination of the fracture site and devitalization of the soft-tissue envelope greatly increase the risk of infection, nonunion, and wound complications. Management of open tibial shaft fractures begins with a thorough patient evaluation, including assessment of the bone and soft tissue surro...

Introduction: The tibia is most commonly fractured long bone in the body, as it has poor soft tissue coverage, medial surface is completely subcutaneous. The optimum method for skeletal stabilization of open fractures of the tibial shaft remains controversial. In recent years, unreamed intramedullary nailing has become an increasing attractive treatment method for tibial fractures. Due to high ...

We treated 24 patients with nonunion of tibial shaft fractures by locked intramedullary nailing, 18 by open and six by closed techniques. Union was achieved in 22 patients, failing only in two patients with active infection. Locked nailing prevented recurrence of deformity and allowed the patients to mobilise without external support. Supplementary bone grafting was essential only for major def...