Fractures are common orthopaedic problem and it occurs most in long bones. Amongst all long bones, shaft of tibia is one of the commonest bones that are prone to fractures. Such fractures have relatively higher incidence of impaired healing as the fracture site has lesser soft tissue coverage, because of subcutaneous bone on anterior aspect. The mentioned reasons account for a high rate of tibi...

conclusions due to the high risk of non-:union: and mal-:union: in humerus shaft fracture, and because applying this simple and inexpensive technique significantly decreased these complications, injecting autologous bone marrow grafts is recommended for accelerating :union: in cases of humerus fracture. results the mean time of :union: was 8.54 ± 3.41 weeks for the individuals followed in the s...

BACKGROUND Tibial fracture management may be complicated by infection of internal fixation hardware (iIFH) resulting in increased morbidity and amputation rate. When iIFH removal is not possible, salvage of the lower extremity is attempted through debridement, antibiotics, and vascularized soft tissue coverage. This study investigates lower extremity salvage with retention of iIFH. METHODS De...

  Abstract   The leg is a complex district with functions of weightbearing support, stability,   and motility. The management of extensive and complex defects is more challenging   and often results in leg amputation or shortening. Leg amputation is a severe   mutilation that alters the patient’s work and social life by limiting ambulation and   self-sufficiency. During a 3 years period we trea...

Femoral and tibial shaft fractures are common injuries in the United States. Since their introduction, reamed intramedullary nails have become the treatment of choice for most of these fractures. However, delayed union and nonunion can complicate treatment in up to 10% of patients. Removal of interlocking screws, or dynamization, can promote fracture healing in cases of delayed union or nonunio...

PURPOSE The purpose of this study was to evaluate the results of the treatment of Schatzker type V and VI tibial plateau fractures using a midline longitudinal incision and dual-plate fixation. MATERIALS AND METHODS Ten patients with Schatzker type V and VI tibial plateau fractures treated with a midline longitudinal incision and dual plating were analyzed. The patients were followed for a mi...

External fixation of distal tibial fractures is often associated with delayed union. We have investigated whether union can be enhanced by using recombinant bone morphogenetic protein-7 (rhBMP-7). Osteoinduction with rhBMP-7 and bovine collagen was used in 20 patients with distal tibial fractures which had been treated by external fixation (BMP group). Healing of the fracture was compared with ...

PURPOSE To compare early versus late flap coverage for open tibial fractures. METHODS Medical records of 83 men and 6 women (mean age, 38 years) who underwent fixation for open tibial fractures (Gustilo grades IIIB and IIIC) followed by flap coverage within (n=30) or after (n=59) 72 hours were reviewed. All fractures were treated within 24 hours. Outcome measures included bone union, infectio...

BACKGROUND Tibial plateau fractures can be successfully fixed utilizing 3.5 mm locking plates. However, there are some disadvantages to using these plates. OBJECTIVES In the current prospective study, we investigated the outcome of treating different types of tibial plateau fractures with 3.5 mm simple plates which, to our knowledge, has not been evaluated in previous studies. MATERIALS AND...