conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

The management of tibial non-union is challenging with protracted, often arduous, treatments. The purpose of this study was to assess patient-reported outcomes following treatment of tibial non-union in circular external fixators. Twenty-one patients with tibial non-unions who successfully completed treatment at a mean of 10.1 months (range 6-20) in a circular external fixator were sent questio...

BACKGROUND Although open tibial fractures are common in Malaysia, the outcomes for these patients have not been evaluated in the literature. This retrospective study was conducted to examine the factors associated with infection and non-union in open tibial fractures managed at Hospital Tengku Ampuan Afzan (HTAA), Kuantan, in 2009. METHODS From 1 January until 31 December 2009, the Department...

BACKGROUND Pulsed electromagnetic fields (PEMF) stimulation for the treatment of bone nonunion or delayed union have been in use for several years, but on a limited basis. The aim of this study was to assess the overall efficacy of the method in tibial delayed unions and nonunions and identify factors that could affect the final outcome. METHODS We prospectively reviewed 44 patients (27 men) ...

INTRODUCTION Non-union of the tibia complicated by osteomyelitis is one of the most challenging problems in orthopaedic surgery. There remains a significant amount of debate and controversy regarding the optimal medical management of infected tibial non-union. There are few articles which have reported the outcomes of treatment for infected non-union of tibia from single-stage reconstruction wi...

Tibial diaphyseal fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. There are many methods of treatment for tibial diaphyseal fractures. But now-a-days closed intramedullary interlocking nailing is emerging as treatment of choice for all closed tibial diaphyseal fractures, most of type Iand type II open fractures in adults. Closed IM IL nail...

BACKGROUND Reamed interlocking intramedullary nailing is considered the gold standard treatment for complex fractures of the femoral and tibial shaft. There has been some controversies about dynamization of statically locked nails, and some authors recommended routine dynamization for promotion of healing. This study aims to evaluate treatment of complex fractures in tibia and femur with static...

INTRODUCTION Open fractures of the tibia pose a challenge to orthopaedic and plastic surgeons. A retrospective observational review was conducted to evaluate the epidemiological factors and fracture outcomes in the Singapore context. METHODS A nine-year period of open tibial shaft fractures presenting to our institution was reviewed. Demographic and management data were recorded. Statistical ...

abstract   background: the tibial diaphyseal fractures are the most common type of long bone fractures encountered by most orthopedic surgeons. in accordance with descriptive indices of tibia fractures on the basis of their location in the bone, distal tibia fractures have the second incidence of all tibia fractures after the middle tibia fractures. the purpose of the study was to assess the co...