BACKGROUND Measurement of bone mineral density by dual x-ray absorptiometry combined with clinical risk factors is currently the gold standard in diagnosing osteoporosis. Advanced imaging has shown that older patients with fragility fractures have poor bone microarchitecture, often independent of low bone mineral density. We hypothesized that premenopausal women with a fracture of the distal en...

BACKGROUND Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology ...

Fractures of the lower leg or the tibia itself, accompanied by fractures of the radius at typical sites are the most common type of fractures [1]. They occur at any age, more frequently in young people. Fractures that are considered tibial diaphyseal fractures are those that occur between the knee and ankle joint. We distinguish fractures of the upper, medial and lower thirds of the tibia [2]. ...

Aseptic non-union is a major problem following complicated fracture tibia, which carries significant morbidity and prolonged course of treatment. Plate fixation and autogenous bone grafting has been established as a method of treatment. However the risk of infection, implant failure and donor site morbidity are high. We reviewed twelve consecutive cases of established non-union tibia treated by...

BACKGROUND The bone remodeling sequence after bone fracture changes the concentrations of biochemical bone markers, but the relationships of fracture size and of healing time to changes in biomarkers are unclear. The present pilot study was undertaken to determine the changes found in serum bone markers after plate osteosynthesis of closed distal tibial and malleolar fractures during a study pe...

Fractures of the tibia account for approximately 17-21% of all lower extremity fractures and approximately 2% of all combined fractures [1,2]. Within this number, 3% to 13% of tibia fractures are classified as segmental with most literature on this injury consisting of case series or retrospective reviews [3,4]. Segmental fractures of the tibia present a challenge to treating orthopedic surgeon...

Background & Aims: Tibia fractures are the most common long bone fracture. Due to minimal soft tissue and its blood supply, inadequate treatment of injuries could be a major cause of morbidity and disability. The intramedullary nail is the preferred method of treatment; however, despite all previous studies, no accurate method to measure nail length prior to surgery exists as yet. Due to the im...

BACKGROUND AND PURPOSE There is some clinical evidence that fracture healing is impaired in multiply injured patients. Nothing is known, however, about the effects of various types of injuries and their contribution to a possible disturbance of the fracture-healing process. We investigated the effect of a thoracic trauma and an additional soft-tissue trauma on fracture healing in a rat tibia mo...

Most stress fractures of the tibia, when treated appropriately, heal without sequelae. A stress fracture of the anterior part of the cortex of the tibia, an uncommon variant, is associated with atypical clinical and radiographic findings, has a propensity for nonunion, and can result in a complete fracture. We report the case of a patient who had chronic, bilateral stress fractures of the anter...

This study discusses the results of a histological examination of bone calluses in the treatment of tibia fractures in sheep with the involvement of a semi-circular fixator. In all sheep, callus samples revealed the presence of well-developed, compact bone tissue in the area of fracture healing. It was found that the use of a semi-circular fixator promoted bone growth, and that it is an effecti...