Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic widening, which can cause surgeons to overlook changes in fibula length and rotation. The decision to proceed with surg...

BACKGROUND Screws placed in the distal fibula may not have satisfactory purchase during internal fixation of an osteoporotic ankle fracture. Tibia-pro-fibula screws that extend from the fibula into the distal tibial metaphysis provide additional purchase. The purpose of this study was to investigate if purchase of these screws can be enhanced further by injecting calcium sulfate and calcium pho...

Involvement of the distal part of the fibula by benign aggressive and malignant tumors remains to be a challenge for the treating surgeon. Such lesions require resection that consequently results in ankle instability [1]. Due to rarity of the condition reconstruction techniques vary, with variable results. The fibula is affected in 2.4% of primary bone tumors, [2] with the proximal third being ...

OBJECTIVE To evaluate the reliability of vascularized fibula transfer in maintaining arthrodesis following wide excision of malignant tumors located at the metaphyseal ends of long bones. METHODS Fourteen patients underwent wide extra-articular excisions followed by arthrodesis with vascularized fibula and its variants at the Department of Orthopedic Surgery and Traumatology, University of Ha...

PURPOSE To assess the results of concurrent intramedullary nailing plus plate osteosynthesis for fractures of the distal tibia and fibula. METHODS 15 men and 10 women (mean age, 35 years) with concurrent fractures of the distal tibia and fibula underwent intramedullary nailing (for the tibia) and plate osteosynthesis (for the fibula). 17 fractures were type A1, 6 type A2, and 2 type A3. Compo...

Background:  Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis  (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteo...

7 Fractures of the malleolus associated with syndesmotic injuries are common. Diagnosis of the syndesmotic injury often is missed and requires stress testing. An initial stable syndesmosis on x-ray may get displaced in later x-ray and a high suspicion Index can prevent one from missing this injury. Figure 1 and 2. Accurate reduction and stable fixation of the syndesmosis are critical to outcome...

INTRODUCTION Compound distal tibia fractures have high incidence of nonunions and have varied presentation as far as status of fibula is concerned. If fibula is sufficiently healthy we can use it for bridging the nonunion of tibia. CASE REPORT We present a case of 20 year old female with compound and segmental tibia fracture. Primary stablisation by external fixation and later cast brace appl...

INTRODUCTION Giant cell tumour is the commonest benign bone tumour arising at the epiphyseometaphyseal regions of long bones. Around the knee is commonest site followed by distal radius. A giant cell tumour of the distal fibula is extremely rare. We report here a case of giant cell tumour of distal fibula. There are very few similar cases reported worldwide and it is the purpose of this report ...

Background: The gap nonunion considered to be a common and complex problem for orthopedic surgeon. most bone which is used fill this usually fibula. Fibula easy access with minimum complication at donor site. Aim: To evaluate the result in forearm bones Methods: 13 patients were selected. age was between 20to 50 years. mean 34.9 graft taken from mid shaft of fibula cancellous proximal tibia. Bo...