BACKGROUND Concomitant tibial shaft and posterior malleolar fractures (PMFs) are often encountered in clinical settings. Plain films were reviewed for concomitant PMF, and fracture patterns were analyzed by focusing on the integrity of the fibula and the location of the fibular fracture. METHODS A retrospective review of patients who presented with tibial shaft fractures between January 2005 ...

Background: Presentation of proximal tibia stress fracture is not infrequent among elderly patients due to their poorbone stock. Optimal management of patients with severe gonarthrosis of the knee and concurrent tibial stress fracture isnot known yet. In this study we report the outcome of primary total knee arthroplasty (TKA) using stemmed componentsin elderly patients.Methods: Between 2009 an...

INTRODUCTION Triplane fracture is a rare adolescent ankle injury. Its association with ipsilateral tibial shaft fracture is very rarely reported in the literature. CASE REPORT This is a case of a 14-year-old male who sustained a twisting injury to his right leg after a fall from a height. He sustained a minimally displaced spiral fracture of the mid-shaft of his right tibia with a concomitant...

BACKGROUND Tibial fractures are the most common long bone fracture. The standard of care for the treatment of diaphyseal tibial fractures is an intramedullary nail (IMN). Implant removal is one of the most common procedures in bone and joint surgery, and criteria for implant removal are typically left to the treating surgeon. Currently, no clear criteria exist to guide a surgeon's decision to r...

The tibial shaft is the most common location of stress fractures in athletes. Tibial stress fractures are divided into 2 groups, anterior and posterior, based on location. Posterior tibial cortex fractures are more common and respond well to conservative treatment. Fractures in the anterior cortex are less common, accounting for only 4.6% of stress fractures, and they often heal poorly because ...

The aim of this study was to evaluate the clinical value of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the diagnosis and treatment of complex fractures of the tibial plateau. A total of 71 patients with complex fractures of the tibial plateau (estimated Schatzker classifications III, V and VI) were included in this study. The X-ray, MDCT and MRI data ob...

Like other intra-articular fractures, the tibial plateau fracture is challenging for orthopedic surgeons because of its severity of trauma, associated soft tissue injuries. Open reduction incurs serious complications, especially wound healing after traditional dissections. Unsatisfactory results often occur in complex or bicondylar tibial plateau fractures. Traditional surgical methods achieved...

OBJECTIVE Investigate whether intervention with GH after tibial fracture enhances fracture healing. DESIGN Randomised, double-blind, placebo-controlled study in 406 patients (93 women, 313 men, age: 18-64 years) with tibial fracture. METHODS Patients were stratified by tibial fracture (open or closed) and allocated to placebo or GH treatment (15, 30 or 60 mug/kg daily, until clinically asse...

Tibial shaft fractures are common injuries in emergency departments (EDs). Although many of these fractures require surgery, nearly all are stabilized in the ED with a long leg splint or bivalved cast. Long leg splinting is often challenging for a single health care provider. Further, even with assistance or previously described techniques for fracture reduction and stabilization, fracture angu...

BACKGROUND Tibial shaft fractures are the most common long bone fracture and are prone to complications such as nonunion requiring reoperations to promote fracture healing. We aimed to determine the fracture characteristics associated with tibial fracture nonunion, and their predictive value on the need for reoperation. We further aimed to evaluate the predictive value of a previously-developed...