Bone morphogenetic proteins (BMP) have been shown to induce bone formation and union in long bone defects and nonunions. We report a case of congenital pseudarthrosis of the tibia treated with a composite implant consisting of a biocoral frame, collagen carrier, and native bovine BMP extract. A six-year-old boy had persisting congenital proximal tibial pseudarthrosis despite six prior operation...

Objective of the paper is to evaluate outcome management tibial plateau fractures with reference Luo’s three column classification concept. The selection surgical approach and appropriate fixation construct was dictated by number distinct articular fragments on CT scans concomitant soft tissue injury. primary measure relationship between involved secondary loss reduction at healing. Secondary d...

BACKGROUND This randomized, parallel-group, non-blinded study was designed to determine the role of fibular fixation in the treatment outcomes of combined distal tibia and fibula fractures. MATERIALS AND METHODS Sixty patients with distal tibial and fibular fractures were randomly divided in two groups of case and controls. In the case group, fibula was fixed prior to the fixation of tibia. I...

Intramedullary nailing is the standard of care for tibial shaft fractures. The risk factors infectious and/or mechanical complications, notably non-union, remain incompletely understood. objective this study was to evaluate non-union. Active smoking and an initial open wound are independent complications. We retrospectively included consecutive patients managed or closed fractures by primary in...

OBJECTIVES The radiographic union score for tibial (RUST) fractures was developed by Whelan et al to assess the healing of tibial fractures following intramedullary nailing. In the current study, the repeatability and reliability of the RUST score was evaluated in an independent centre (a) using the original description, (b) after further interpretation of the description of the score, and (c) ...

PURPOSE To compare immediate interlocking nailing with external fixation followed by delayed interlocking nailing, for Gustilo type IIIB open tibial fractures. METHODS 23 patients with Gustilo IIIB open tibial fractures were treated with either immediate unreamed interlocking nailing (n=9) or external fixation followed by delayed unreamed interlocking nailing (n=14). Patient age, sex ratio, f...

BACKGROUND Functional bracing is a proven method of treatment of tibial fractures. Since 1998 we use individually produced braces made of "combicast" according to Schuren technique. The brace greatly limits the angulation and displacement allowing the axial compression, promoting the physiology of fracture healing. MATERIAL AND METHODS Functional bracing was applied in 51 patients, ageing fro...

Minimally invasive techniques in distal tibial fractures are technically feasible and may be advantageous in that it minimizes soft tissue compromise and devascularization of the fracture fragments. This study describes results of Twenty seven cases of fractures of the distal tibia treated by using the metaphyseal locking plate (LCP) as an internal fixator. Patient’s outcome in terms of period ...

Reamed intramedullary nailing was carried out on R57 Gustilo grade-IIIB tibial fractures in 55 patients. After debridement, there was substantial bone loss in 28 fractures (49%). The mean time to union was 43 weeks (14 to 94). When there was no bone loss, the mean time to union was 32 weeks; it was 45 weeks if there was bone loss. Fractures complicated by infection took a mean of 53 weeks to he...

An account is given of 38 patients with complicated tibial fractures who were treated by the Portsmouth method of external fixation. Twenty-one patients had multiple injuries and 30 had compound fractures of the tibia. Eighteen fractures wounds were infected, 17 cases required bone grafts and 13 had skin grafts. Thirty-four fractures united in an average time of six months; three patients under...