We present a case of an ipsilateral tibial shaft fracture and a distal tibial triplane fracture with an intact fibula in a 14-year-old boy. Computed tomography revealed the distal tibial triplane fracture with a 2.6-mm displaced Tillaux fragment and a posterior malleolar shear fragment. Open reduction and internal fixation was performed to optimise healing and outcome. This is a rare injury, fo...

Background: The treatment of open tibial fractures is still an orthopaedic challenge and full of complications. In many cases the use of external fixator that has been known as a non-union machine is obligatory with a high incidence of pin track infection and other complications. The aim of this study was to compare the use of external fixation as a definite method for treatment of open tibial ...

PURPOSE: This study aimed to analyze the acute effect of active tibial rotation exercise on torsion angle, ankle range motion, and neuromuscular control.METHODS: was based AB/BA Cross-over design, participants were divided into two conditions (core-tex manual exercises). Before after intervention, non-weight bearing weight-bearing motion dynamic balance test, Shark skill test conducted.RESULTS:...

abstract  background: reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non::::union::::. the purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non::::union::::.  methods: twenty-nine patients with non::::union:::: after initial therapy for tibial fracture  were retrospectively ass...

Background: The amount of anterior tibial translation during rehabilitation exercises is a key factor in organizing exercise regimen after anterior cruciate ligament injury. Excessive anterior tibial translation could increase the magnitude of tension imposed on injured and reconstructed anterior cruciate ligament knees. Forward lunge and open-kinetic knee extension exercises are commonly used ...

Vascular injury in closed tibial plateau fractures is sometimes diffi cult to diagnose because radiological examination might reveal only minor disengagement of the tibial plateaus and a coexistant compartment syndrome may overlap the clinical signs.1,2,8,9 This article presents a case of a medial split fracture-dislocation with an associate rupture of the popliteal artery that went undiagnosed...

BACKGROUND Although it is well known that quadriceps force generates anterior tibial force, it has been unclear whether quadriceps force causes great anterior tibial force during the early phase of a landing task. The purpose of the present study was to examine whether the quadriceps force induced great anterior tibial force during the early phase of a landing task. METHODS Fourteen young, he...

PURPOSE To develop a classification system for all proximal tibial fractures in children that accounts for force of injury and fracture patterns. METHODS At our institution, 135 pediatric proximal tibia fractures were treated from 1997 to 2005. Fractures were classified into four groups according to the direction of force of injury: valgus, varus, extension, and flexion-avulsion. Each group w...

BACKGROUND Strong biomechanical and epidemiological evidence associates knee valgus collapse with isolated, noncontact anterior cruciate ligament (ACL) injuries. However, a concomitant injury to the medial collateral ligament (MCL) would be expected under valgus collapse, based on the MCL's anatomic orientation and biomechanical role in knee stability. Purpose/ HYPOTHESIS The purpose of this ...

BACKGROUND Dynamic alignment of "knee-in & toe-out" is a risk factor for anterior cruciate ligament injury and is possibly influenced by static knee alignment, range of tibial rotation and tibial plateau geometry. METHODS Twenty-eight healthy women were classified into valgus, neutral and varus groups based on static alignment of their knees. A 3-dimensional motion analysis was carried out fo...