Tibial fracture is the most common long bone fracture. Because of the superficial location of the tibia, surgery is usually required for the treatment of fractures to achieve union. The goal of this study was to evaluate the effect of decortication on the faster union of fractures treated with compression plates. In this clinical trial, conducted from 2009 to 2013, 42 patients were randomly ass...

We performed a prospective randomised trial on matched groups of patients with displaced tibial shaft fractures to compare conservative treatment with closed intramedullary nailing. The results showed conclusively that intramedullary nailing gave more rapid union with less malunion and shortening. Nailed patients had less time off work with a more predictable and rapid return to full function. ...

A total of 45 tibial shaft fractures, all conservatively treated and with union delayed for more than 16 but less than 32 weeks were entered in a double-blind multi-centre trial. The fractures were selected for their liability to delayed union by the presence of moderate or severe displacement, angulation or comminution or a compound lesion with moderate or severe injury to skin and soft tissue...

Displaced tibial intercondylar eminence fractures frequently require operative fixation. Surgical techniques for fixation include the use of headed screws or sutures. However, these fractures commonly occur in skeletally immature patients, and current techniques violate the proximal tibial physis to maintain reduction and can result in growth disturbances. The authors present a physeal-sparing ...

Tibial shaft fractures are treated surgically by different methods. In the last few years interlocking intramedullary nailing has emerged as a gold standard for tibia fracture. The clinical and radiological outcome is better complications like compartment syndrome, neurovascular injuries, infection, non-union relatively less of tibia. use ILIM nail also shows reduce risk reoperation. Nail consi...

Nonunion is common complication of fracture management. Various factors are involved in its occurring. Metabolic and endocrine factors are often overlooked. So that aim of study was to evaluate the level of vitamin D and PTH in patients with unexplained nonunion and fractures due to low energy trauma. In the case control study, 30 patients with tibial nonunion compared with 32 patients with nor...

We evaluated the results of fibular centralisation as a stand alone technique to reconstruct defects that occurred after resection of tumours involving the tibial diaphysis and distal metaphysis. Between January 2003 and December 2006, 15 patients underwent excision of tumours of the tibial diaphysis or distal metaphysis and reconstruction by fibular centralisation. Their mean age was 17 years ...

BACKGROUND AND PURPOSE Tibial tubercle osteotomy (TTO) is an established surgical technique for exposing the stiff kneein revision total knee arthroplasty (RTKA). The osteotomy is usually performed through the anterior metaphyseal cancellous bone of the tibia but it can be extended into the intramedullary canal if tibial stem and cement removal are necessary. Furthermore, repeat osteotomy may b...

conclusions closed reduction and hybrid external fixation can be used as a definitive treatment for severe comminuted fractures of the distal femur and proximal tibia, when the concomitant contusion of the skin and soft tissue damage prohibits safe open reduction and internal fixation. patients and methods in a prospective study, 44 patients with comminuted fractures of the distal femur or prox...