conclusions closed reduction and hybrid external fixation can be used as a definitive treatment for severe comminuted fractures of the distal femur and proximal tibia, when the concomitant contusion of the skin and soft tissue damage prohibits safe open reduction and internal fixation. patients and methods in a prospective study, 44 patients with comminuted fractures of the distal femur or prox...

A displaced tibial tuberosity avulsion fracture associated with an open extra-articular proximal tibial diaphyseal fracture is an uncommon fracture pattern. This case report describes the successful management of such a fracture pattern in a 45-year old male using an open reduction and lag screw fixation of the tuberosity with a minimally invasive reduction and plate fixation of the proximal ti...

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...

background fractures of the knee account for about 6% of all trauma admissions. while its management is mostly focused on fracture treatment, it is not the only factor that defines the final outcome. objectives this study aimed to study objective and subjective outcomes after proximal tibial versus distal femoral fractures in terms of knee instability and health-related quality of life. patient...

conclusions we feel this rare, currently unclassified variant of a tibial tubercle avulsion fracture should be recognised and consideration taken to adding it to existing classification systems. introduction a sleeve fracture classically describes an avulsion of cartilage or periosteum with or without osseous fragments and usually occurs at the inferior margin of the patella. tibial tubercle sl...

BACKGROUND Fracture of the proximal tibial metaphysis in children is a rare injury but notorious for carrying the risk of subsequent valgus deformity of the tibia. HYPOTHESIS Trampoline-caused fracture of the proximal tibial metaphysis in children may not progress into valgus. MATERIALS AND METHODS We followed up six children who collectively sustained seven fractures of the proximal tibial...

RATIONALE It is challenging to visualize and reduce a posterolateral tibial plateau fracture through an anterolateral approach as the tibial plateau fragments are often covered by the fibular head and ligamentous structures. PATIENT CONCERNS In this case report, we describe a patient with a depression fracture of the posterolateral quadrant combined with a split fracture of the posteromedial ...

Fractures of the Proximal tibial epiphysis are rare. We report a case of proximal tibial epiphyseal fracture with completely separated and displaced physis . The injury was a result of high speed road traffic accident. The fracture displacement was such that it was difficult to put it in any existing classification system except poland type 4. The injury has a high risk of neurovascular comprom...

BACKGROUND AND PURPOSE The application of radiostereometric analysis (RSA) to monitor stability of tibial plateau fractures during healing is both limited and yet to be validated. We therefore evaluated the accuracy and precision of RSA in a tibial plateau fracture model. METHODS Combinations of 3, 6, and 9 markers in a lateral condyle fracture were evaluated with reference to 6 proximal tibi...

Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simul...