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...

BACKGROUND AND PURPOSE NSAIDs are commonly used in the clinic, and there is a general perception that this does not influence healing in common types of human fractures. Still, NSAIDs impair fracture healing dramatically in animal models. These models mainly pertain to fractures of cortical bone in shafts, whereas patients more often have corticocancellous fractures in metaphyses. We therefore ...

© Springer International Publishing Switzerland 2015 H. Zreiqat et al. (eds.), A Tissue Regeneration Approach to Bone and Cartilage Repair, Mechanical Engineering Series, DOI 10.1007/978-3-319-13266-2_2 Abstract Bone morphogenetic proteins (BMPs) play an important role in osteoblast and chondrocyte differentiation and canonical Wnt signaling regulates bone mass. BMP-2 is approved for use in spi...

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...

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...

Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to t...

conclusions in this case series study, the fixation of different types of tibial plateau fractures with 3.5 mm simple non-locking and non-precontoured plates was associated with acceptable clinical, functional, and radiographic outcomes. based on the advantages and costs of these plates, the authors recommend using 3.5 mm simple plates for different types of tibial plateau fractures. results th...

Compartment syndrome is a serious complication of fractures of the tibial shaft and its clinical presentation and evaluation have been well documented (Holden 1975; Kikuchi, Hasue and Watanabe 1978). The most important diagnostic feature is the presence of inappropriate pain even after stabilisation of the fracture by a cast or by external or internal fixation. Pain is made worse by passive str...