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...

INTRODUCTION We present a case of accelerated tibial fracture union in the third trimester of pregnancy. This is of particular relevance to orthopaedic surgeons, who must be made aware of the potentially accelerated healing response in pregnancy and the requirement for prompt treatment. CASE PRESENTATION A 40 year old woman at 34 weeks gestational age sustained a displaced fracture of the tib...

OBJECTIVE The aim of this study was to analyse the various factors affecting functional recovery of earthquake survivors with tibial shaft fractures in Sichuan, China, and to provide a clinical reference for the future management of people injured in earthquakes. METHODS A total of 174 earthquake survivors with tibial shaft fractures were investigated using a face-to-face survey 15 months aft...

Intramedullary interlocking tibial nailing is usually performed using an image intensifier. But being expensive, it is not available in the most of the hospitals of resource-poor countries of the world. The purpose of this study is to analyze the results of interlocking nailing without the use of an image intensifier. This is the retrospective study of 55 diaphyseal tibial fractures treated wit...

Although it is widely accepted that grade IIIB open tibial fractures require combined specialised orthopaedic and plastic surgery, the majority of patients in the UK initially present to local hospitals without access to specialised trauma facilities. The aim of this study was to compare the outcome of patients presenting directly to a specialist centre (primary group) with that of patients ini...

demineralized bone matrix has been successfully commercialized as an alternative bone graft material that not only can function as filler but also as an osteoinductive graft. numerous studies have confirmed its beneficial use in clinical practice. heterotopic ossification after internal fixation combined with the use of demineralized bone matrix has not been widely reported. in this paper we de...

Introduction: Management of fracture non-unions the tibia are demanding due to hampered vascular supply, poor bone quality and deficient soft tissue cover. Instead traditional Ilizarov’s ring fixator which is bulky, technically has a patient compliance, Limb Reconstruction System (LRS) viable alternative. The aim this study assess functional radiological outcome complications associated with ma...

background: the principal aim of this study was therefore to investigate association between family history of osteo porotic hip fracture, bmd and femur geometry in bushehr city in south of iran. methods: in this cross-sectional study, data were obtained from iranian multi-center osteoporosis study (imos) in bushehr. healthy men and women aged 50 to 75 years were selected based on randomized cl...

We examined the recovery of power in the muscles of the lower limb after fracture of the tibial diaphysis, using a Biodex dynamometer. Recovery in all muscle groups was rapid for 15 to 20 weeks following fracture after which it slowed. Two weeks after fracture the knee flexors and extensors have about 40% of normal power, which rises to 75% to 85% after one year. The dorsiflexors and plantar fl...