2,034 results match your criteria Fracture Tibia and Fibula


Stress Distributions and Micromovement of Fragment Bone of Pilon Fracture Treated With External Fixator: A Finite Element Analysis.

J Foot Ankle Surg 2020 Jul - Aug;59(4):664-672

Professor, Sports Innovation and Technology Centre (SITC), Institute of Human Centered Engineering (iHumEn), Universiti Teknologi Malaysia, Johor, Malaysia.

Osteoporosis and osteoarthritis are common pathological problems of the human bone tissue. There are some cases of pilon fractures associated with these 2 pathological conditions. In terms of treatment, for a normal and healthy bone with pilon fracture, the use of the Delta external fixator is a favorable option because it can allow early mobilization for patients and provide stability for the healing process. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.09.006DOI Listing
November 2018

Internal fixation of delayed union of fracture with chronic osteomyelitis due to Staphylococcus epidermidis: A case report.

Ann Med Surg (Lond) 2020 Aug 11;56:56-60. Epub 2020 Jun 11.

Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, 90245, Indonesia.

Introduction: The most feared and challenging complication in treating patients with musculoskeletal trauma is infection after fracture fixation, which can delay healing and, in turn, result in permanent functional loss of limbs or even amputation.

Case Presentation: Here, we describe a case in which a patient presented with stage 4 chronic osteomyelitis on the right tibia and fibula. To treat the late infection by eradicating or reducing the infection, it was recommended to replace the internal fixation with surgical debridement for 6 weeks and antibiotics for 6-12 weeks until the internal fixation device could be removed. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.06.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305371PMC

Intercalary bone graft of the tibia: case series and review of the literature.

Eur J Orthop Surg Traumatol 2020 Jun 19. Epub 2020 Jun 19.

AOU Sant'Orsola-Malpighi, Via Massarenti 9, Bologna, Italy.

Aims: We report a series of patients treated with intercalary bone graft (IBG) of the tibia diaphysis (TD) after resection of primary bone tumors. The purpose of this study was to evaluate the mid- and long-term survival of TD IBG reconstruction in children and adults, characterizing patterns of success and failure.

Methods: A total of 35 patients were included in this retrospective study. Read More

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http://dx.doi.org/10.1007/s00590-020-02718-yDOI Listing

Risk of premature physeal closure in fractures of distal tibia.

J Pediatr Orthop B 2020 Jun 15. Epub 2020 Jun 15.

The reported incidence of premature physeal closure (PPC) in fractures of the distal tibia has varied between 5 and 36%, but there is no consensus on the cause. We wanted to determine incidence and predictors of PPC in distal tibia physeal fractures in a population-based patient cohort. Two hundred forty-one patients (195 Peterson type I-V fractures and 46 transitional fractures) treated for a physeal fracture of the distal tibia during a 5-year period in two tertiary-level teaching hospitals. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000744DOI Listing

Pathological Fracture of the Tibia in a Monostotic Anterior Cortical Fibrous Dysplasia: Hybrid Fixation with UnicorticalOsteoperiosteal Non-Vascularized Fibula Graft - A Case Report.

J Orthop Case Rep 2020 ;9(6):19-22

Department of Orthopaedic Surgery, Sir J.J. Group of Hospitals and Grant Medical College, Mumbai, Maharashtra, India.

Introduction: Fibrous Dysplasia is a relatively rare Musculoskeletal disorders in which there is a defect in remodelling of immature bone to mature lamellar bone. Fibrous Dysplasia was first described by Von Recklinghausen in 1891, but it was Lichtenstein who labelled it polyostotic Fibrous Dysplasia in 1938. Union of Pathological Fractures in a bone affected by Fibrous Dysplasia poses a difficult set of Challenges for treating Physicians. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276599PMC
January 2020

Clinical comparison of single-incision and dual-incision approaches for the treatment of distal tibial and fibular fractures: A randomized controlled trial.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020930305

Department of Traumatic Orthopedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, People's Republic of China.

Purpose: The purpose of this study was to clinically compare the single-incision and dual-incision approaches for the treatment of distal tibial and fibular fractures.

Methods: In total, 93 patients were enrolled, and the mean follow-up was 15 months (range 12-19 months). The patients treated for open reduction and internal fixation were randomly classified into two groups based on the approach used: 45 patients were treated using the single-incision approach (group 1) and 48 patients were treated using the dual-incision approach (group 2). Read More

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http://dx.doi.org/10.1177/2309499020930305DOI Listing

Combined massive allograft and intramedullary vascularized fibula transfer: the Capanna technique for treatment of congenital pseudarthrosis of the tibia.

Acta Orthop 2020 Jun 8:1-6. Epub 2020 Jun 8.

University Medical Center Utrecht, The Netherlands.

Background and purpose - Congenital pseudarthrosis of the tibia (CPT) is caused by local periosteal disease that can lead to bowing, fracturing, and pseudarthrosis. Current most successful treatment methods are segmental bone transport and vascularized and non-vascularized bone grafting. These methods are commonly hampered by discomfort, reoperations, and long-term complications. Read More

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http://dx.doi.org/10.1080/17453674.2020.1773670DOI Listing

Outcome of Ilizarov External Fixator for the Treatment of Gap Non-uniting Mid Shaft Tibia-fibula Fractures: Our Experience.

Mymensingh Med J 2020 Apr;29(2):284-289

Dr Mohammad Kamruzzaman, Assistant Professor, Department of Orthopedics, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Many patients come with open fracture tibia-fibula initially managed by surgical toileting and the application of indigenous uniaxial external fixator in our country. Many of them lead to non-uniting fracture or sometimes signs of union absent within 4 months from the time of initial fracture and become infected also. This quasi experimental study included 40 skeletally matured patients was conducted from 05 February 2014 to 05 February 2018 in the department of Orthopedics, Mymensingh Medical College Hospital, Mymensigh, Bangladesh. Read More

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Weightbearing Radiography and MRI Findings in Ankle Fractures.

Foot Ankle Spec 2020 Jun 2:1938640020921571. Epub 2020 Jun 2.

Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland (HCB, HB, JC-B, FK, MCA).

Static weightbearing radiography can be used to assess stability in ankle fractures by measuring lateral talar shift (medial clear space; MCS). However, the correlation of a stable ankle joint under weightbearing load and the structural integrity of the deltoid ligament has not been shown. In this study, we assessed deltoid ligament integrity on magnetic resonance imaging (MRI) and correlated that with weightbearing and gravity stress test radiography. Read More

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http://dx.doi.org/10.1177/1938640020921571DOI Listing

A Modified 2-Stage Treatment for AO/OTA 43-C1 Pilon Fractures Accompanied by Distal Fibular and Posterior Lip of the Distal Tibia Fracture.

J Foot Ankle Surg 2020 May 29. Epub 2020 May 29.

Associate Registrar, Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. Electronic address:

The management of pilon fractures remains challenging owing to the high-energy axial loading mechanism that produces comminution of the articular surface, displacement of tibia metaphysis, and severe soft tissue injury. How to preserve the vitality of soft tissue and achieve anatomic reduction has become a timely issue. We report and evaluate the effect of a modified staging treatment for AO Foundation/Orthopaedic Trauma Association (AO/OTA) 43C1 pilon fracture accompanied by distal fibular and posterior lip of the distal tibia fracture. Read More

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http://dx.doi.org/10.1053/j.jfas.2020.03.020DOI Listing

Clinical Outcome of Free Vascularized Fibula Graft in the Surgical Treatment of Extremity Osteosarcoma.

Orthop Surg 2020 Jun 15;12(3):727-733. Epub 2020 May 15.

Department of Orthopedic Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.

Objective: To determine the clinical outcome and complications associated with use of free vascularized fibular graft (FVFG) in the resection and reconstruction of extremity osteosarcoma (OS).

Methods: This is a retrospective study recruiting a consecutive series of 18 patients who had undergone resection of extremity OS between May 2009 and June 2017 in our clinic center. Reconstruction of the bone defect with FVFG was performed for each patient. Read More

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http://dx.doi.org/10.1111/os.12646DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307252PMC

Osteoporotic ankle fractures: A narrative review of management options.

J Clin Orthop Trauma 2020 May-Jun;11(3):380-387. Epub 2019 Nov 4.

Department of Orthopaedics, AIIMS, New Delhi, India.

The management of Osteoporotic ankle fractures is still considered to be a challenge by many surgeons. One of the issues seems to be a lack of data focused on this special subgroup, with very little evidence of good quality. We did a narrative review of the literature in an attempt to identify the magnitude of the problem and to evaluate the evidence in support of management options. Read More

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http://dx.doi.org/10.1016/j.jcot.2019.10.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211825PMC
November 2019

[Current treatment strategies for lower leg fractures in adults].

Unfallchirurg 2020 Jun;123(6):479-490

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Shaft fractures of the tibia and fibula mainly affect younger patients and are therefore of great socioeconomic importance. Due to the high proportion of high-energy direct trauma mechanisms and the thin soft tissue covering layer of the ventromedian tibia, open factures occur in up to 39%. A structured diagnostic and therapeutic approach is essential for successful treatment. Read More

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http://dx.doi.org/10.1007/s00113-020-00805-7DOI Listing

[Treatment of Fractures of the Distal Third of Tibia Diaphysis by MIPO Technique].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):114-119

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy, IPVZ a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY MIPO (Minimally Invasive Plate Osteosynthesis) technique is currently a commonly used method to treat fractures of the distal third of tibia diaphysis. At the same time, it is just like other methods accompanied by a relatively high complication rate. The purpose of this study was to determine whether the use of this technique at our department is effective and whether the complication rate does not differ considerably from values reported by literature. Read More

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Avoiding Above-the-Knee Amputation with a Free Tibiofibular-Talocalcaneal Fillet Flap and Free Latissimus Dorsi Flap.

Indian J Plast Surg 2020 Mar 1;53(1):135-139. Epub 2020 Apr 1.

Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

Despite the advances achieved in reconstructive surgery, amputation is still the only option after some severe traumas. Preservation of the knee joint is considered a significant functional advantage. We present the case of a 39-year-old man with a comminuted Gustilo type IIIC open tibia fracture with massive bone loss. Read More

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http://dx.doi.org/10.1055/s-0040-1708226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192697PMC

Posterior Tibial Tendon Rupture Associated With Anterolateral Distal Tibial and Medial Malleolar Fracture and a Novel Pattern of Tibiofibular Syndesmotic Injury: A Case Report and Review of the Literature.

J Foot Ankle Surg 2020 Apr 29. Epub 2020 Apr 29.

Professor and Chief of Service, Department of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy; Professor and Chief of Service, Azienda Ospedaliero-Universitaria Senese, Siena, Italy.

A posterior tibial tendon (PTT) rupture associated with ankle fractures is a very rare condition. Ankle pronation and external rotation (PER) movement are the typical traumatic mechanism. This injury is frequently overlooked preoperatively. Read More

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http://dx.doi.org/10.1053/j.jfas.2020.02.010DOI Listing

Comparison of Different Magnitudes of Applied Syndesmotic Clamp Force: A Cadaveric Study.

J Foot Ankle Surg 2020 May - Jun;59(3):452-456

Professor, Nova Southeastern University College of Osteopathic Medicine, Ft. Lauderdale, FL.

Overcompression of the ankle syndesmosis was once thought to be improbable. Recent studies using computerized tomography (CT) however, have demonstarted otherwise; raising pertinent questions regarding the factors associated with and consequences of syndesmotic overcompression. The purpose of the present study was to directly compare different magnitudes of applied clamp force on the coronal reduction of ankle syndesmosis. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.08.028DOI Listing
January 2019

Maisonneuve fracture.

Rozhl Chir 2020 ;99(2):77-85

Introduction: Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. Read More

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http://dx.doi.org/10.33699/PIS.2020.99.2.77-85DOI Listing
January 2020

Human Albumin and N-Acetylcysteine for Treatment of Fat Embolism: A Case Report.

JNMA J Nepal Med Assoc 2019 Jul-Aug;57(218):278-280

Department of Critical Care Medicine, B & C Medical College and Teaching Hospital, Birtamode, Nepal.

Fat embolism is a life-threatening condition that mostly occurs after long bones and pelvis fractures and treatment is controversial with many available drugs. We hereby present a case of 53 years male who developed shortness of breath, tachycardia, fever, anemia, distended jugular vein, thrombocytopenia, hypoalbuminemia and was diagnosed to have fat embolism after fracture of femur, tibia, fibula and pubic rami following road traffic accident. Patient was treated with 20 percent human albumin, N-acetylcysteine, other supportive treatment and discharged after fourteen days. Read More

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The effectiveness of a self-made modular elastic compression device for patients with a fracture of the tibia and fibula.

J Orthop Surg Res 2020 Apr 16;15(1):153. Epub 2020 Apr 16.

Department of Orthopaedic Surgery, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Xinghualing District, Taiyuan, 030001, Shanxi Province, China.

Background: To evaluate the effectiveness of a self-made modular elastic compression device for patients with a fracture of the tibia and fibula.

Methods: Fifty-nine healthy adult patients with a unilateral fracture of the tibia and fibula were randomly divided into an experimental group and a control group. The experimental group was given the self-made combined elastic compression device for the compression treatment of the affected limbs after the operation. Read More

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http://dx.doi.org/10.1186/s13018-020-01678-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164288PMC

Comparison of pediatric sports fracture outcomes based on provider type.

Phys Sportsmed 2020 Apr 17:1-6. Epub 2020 Apr 17.

School of Medicine, University of Colorado, Aurora, CO, USA.

: Pediatric primary care sports medicine physicians and pediatric sports medicine orthopedic surgeons, in conjunction with physician assistants (PAs), often manage patients with fractures. We sought to determine if pediatric patients with fractures seen by primary care sports medicine physicians had similar outcomes and satisfaction as those seen by orthopedic surgeons.: We performed a retrospective chart review of four to 18-year-old patients who were treated by a sports medicine provider (primary care or orthopedic surgeon/PA) for a fracture of the radius, ulna, tibia, or fibula. Read More

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http://dx.doi.org/10.1080/00913847.2020.1755612DOI Listing

Osteoporosis: Economic Burden of Disease in Italy.

Clin Drug Investig 2020 May;40(5):449-458

Faculty of Economics, Economic Evaluation and HTA (EEHTA), CEIS, University of Rome "Tor Vergata", Via Columbia 2, 00133, Rome, RM, Italy.

Background And Objective: Today, osteoporosis is the most common bone disease and an important public health problem in all developed countries. The objective of this study was to estimate the costs associated with the management and treatment of osteoporosis in order to assess the economic burden in Italy for 2017, in terms of direct medical costs and social security costs.

Methods: A cost of illness model was developed to estimate the average cost per year sustained by the NHS (National Health Service) and Social Security System in Italy. Read More

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http://dx.doi.org/10.1007/s40261-020-00904-8DOI Listing

Pathogen identification in 84 Patients with post-traumatic osteomyelitis after limb fractures.

Ann Palliat Med 2020 03 17;9(2):451-458. Epub 2020 Mar 17.

Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China; Joint Orthopaedic Research Center of Zunyi Medical University & University of Rochester Medical Center, Zunyi 563000, China.

Background: Chronic osteomyelitis is a serious complication of orthopedic trauma. Residual bacteria after incomplete debridement and/or bacterial colonization, bacterial biofilm formation, and generation of antibiotic-resistant bacterial strains in the microtubule system of compact bones due to irrational use of antibiotics often make the condition more prolonged, recurrent, and refractory. The passive immunotherapy targeting the protein components of bacteria has become an area of intense research interest, for which identifying the bacterial isolates in different areas at different time points remains a key step. Read More

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http://dx.doi.org/10.21037/apm.2020.03.29DOI Listing

Child with prolonged leg pain and bruising.

Arch Dis Child Educ Pract Ed 2020 Mar 8. Epub 2020 Mar 8.

Department of Paediatrics, Lister Hospital, Stevenage, UK.

A 12-year-old boy was admitted to the paediatric ward with a 4-month history of worsening pain and bruising to his legs, which had resulted in a progressive reduction in his mobility. He initially had had difficulty weight bearing, which had then progressed further making him wheelchair bound. On examination, there was extensive bruising (figure 1) to his oedematous legs, worse on his right leg compared with his left. Read More

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http://dx.doi.org/10.1136/archdischild-2019-318124DOI Listing

Contracture of extensor hallucis longus after fracture of distal tibia and fibula: A case report.

Trauma Case Rep 2020 Apr 24;26:100288. Epub 2020 Feb 24.

Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Post-traumatic isolated big toe extensor contracture after tibiofibular fracture is uncommon and only a few cases have been reported. Major causes of it include anterior compartment syndrome, direct injury, entrapment or adhesion of the muscle or tendon.We present an uncommon case of isolated extensor hallucis longus (EHL) tendon contracture following a distal tibiofibular shaft fracture without compartment syndrome of the affected leg or foot. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042477PMC

Combined surgery with 3-in-1 osteosynthesis in congenital pseudarthrosis of the tibia with intact fibula.

Orphanet J Rare Dis 2020 Mar 2;15(1):62. Epub 2020 Mar 2.

Department of pediatric orthopaedics, Hunan Children's Hospital, The Pediatric Academy of University of South China, 86 ziyuan road, yuhua district, Changsha City, Hunan Province, 410007, People's Republic of China.

Background: Re-fracture is the most serious complication in congenital pseudarthrosis of the tibia (CPT). There are reports that children with small cross-sectional areas in the sections of the pseudarthrosis are more prone to re-fracture. Presently, preventing complications is a challenge. Read More

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http://dx.doi.org/10.1186/s13023-020-1330-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053109PMC

Salter-Harris type II fractures of the distal tibia: Residual postreduction displacement and outcomes-a STROBE compliant study.

Medicine (Baltimore) 2020 Feb;99(9):e19328

From the Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, MD.

We assessed factors associated with premature physeal closure (PPC) and outcomes after closed reduction of Salter-Harris type II (SH-II) fractures of the distal tibia. We reviewed patients with SH-II fractures of the distal tibia treated at our center from 2010 to 2015 with closed reduction and a non-weightbearing long-leg cast. Patients were categorized by immediate postreduction displacement: minimal, <2 mm; moderate, 2 to 4 mm; or severe, >4 mm. Read More

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http://dx.doi.org/10.1097/MD.0000000000019328DOI Listing
February 2020

[Curative effect comparison for fixation of fibula or not for the treatment of middle and lower 1/3 fractures of tibia and fibula with intramedullary nail].

Zhongguo Gu Shang 2020 Jan;33(1):20-6

Department of Traumatic Orthopaedics, the Third Affiliated Hospital of Anhui Medical University, Hefei 230001, Anhui, China.

Objective: To analyze and compare the effect of fibular plate fixation on the treatment of tibial and fibular fractures.

Methods: From July 2016 to September 2018, 65 cases of middle and lower 1/3 fractures of tibia and fibula were retrospectively analyzed, including 46 males and 19 females, aged 22 to 61 years old. There were 37 cases in fibular fixation group (27 males and 10 females) , 28 cases in fibular non fixation group (19 males and 9 females) . Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2020.01.005DOI Listing
January 2020

Replacing one evil with another: Is the fibula really a dispensable spare part available for transfer in patients with medication-related osteonecrosis of the jaws?

Oral Surg Oral Med Oral Pathol Oral Radiol 2020 Jun 24;129(6):e257-e263. Epub 2020 Feb 24.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Germany. Electronic address:

Because of the long-term and consecutive use of different causative agents, clinicians are increasingly encountering patients needing restoration of the stomatognathic system after surgical resection of highly advanced necroses of the jaw. For plastic restoration in these cases, microvascular reconstruction seems to represent the most viable option. According to the limited data available, the risks of this operation are considered comparable with those faced by other patient cohorts. Read More

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http://dx.doi.org/10.1016/j.oooo.2019.10.008DOI Listing

Decoding rejuvenating effects of mechanical loading on skeletal aging using in vivo μCT imaging and deep learning.

Acta Biomater 2020 04 11;106:193-207. Epub 2020 Feb 11.

Institute for Modelling and Simulation of Biomechanical Systems, University of Stuttgart, Stuttgart, Germany; Stuttgart Center for Simulation Science (SC SimTech), Stuttgart, Germany.

Throughout the process of aging, dynamic changes of bone material, micro- and macro-architecture result in a loss of strength and therefore in an increased likelihood of fragility fractures. To date, precise contributions of age-related changes in bone (re)modeling and (de)mineralization dynamics to this fragility increase are not completely understood. Here, we present an image-based deep learning approach to quantitatively describe the effects of short-term aging and adaptive response to cyclic loading applied to proximal mouse tibiae and fibulae. Read More

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http://dx.doi.org/10.1016/j.actbio.2020.02.007DOI Listing

Reconstruction of Traumatic Defects of the Tibia With Free Fibula Flap and External Fixation.

Ann Plast Surg 2020 Feb 5. Epub 2020 Feb 5.

Division of Plastic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.

Introduction: Traumatic intercalary defects of the tibia may be effectively managed with the free fibula flap. However, any alteration of limb alignment with residual bony angular deformity of the tibia must be also addressed. We describe the use of the free fibula flap in conjunction with external fixation to allow residual deformity correction and patient mobilization ambulation during healing of the free flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002240DOI Listing
February 2020

Outcomes and Predictors of Popliteal Artery Injury in Pediatric Trauma.

Ann Vasc Surg 2020 Jul 21;66:242-249. Epub 2020 Jan 21.

Department of Trauma Surgery, University of California, Irvine Medical Center, Orange, CA.

Background: Popliteal artery injury (PAI) is a rare occurrence in pediatric patients with significant consequences. Delays in diagnosis lead to severe complications such as lifelong disability and limb loss. We sought to identify outcomes and clinical predictors of PAI in the pediatric trauma population. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.01.079DOI Listing

Transition From Acute to Chronic Pain in Lower Extremity Fracture Patients: A Pain Phenotyping Protocol.

Nurs Res 2020 Mar/Apr;69(2):149-156

Mari A. Griffioen, PhD, RN, is Assistant Professor, University of Delaware School of Nursing, Newark. Joseph Glutting, PhD, is Professor, University of Delaware School of Education, Newark. Robert V. O'Toole, MD, is Professor, University of Maryland School of Medicine, Baltimore. Angela R. Starkweather, PhD, RN, ANCP-BC, CNRN, FAAN, is Professor, University of Connecticut School of Nursing, Storrs, CT. Debra Lyon, PhD, RN, FAAN, is Professor, University of Florida Gainesville College of Nursing. Susan G. Dorsey, PhD, RN, FAAN, is Professor, University of Maryland School of Nursing, Baltimore. Cynthia L. Renn, PhD, RN, FAAN, is Associate Professor, University of Maryland School of Nursing, Baltimore.

Background: Traumatic injury is a major source of chronic pain, particularly for individuals with traumatic fracture of the fibula and/or tibia (lower extremity fracture [LEFx]). Although several factors (e.g. Read More

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http://dx.doi.org/10.1097/NNR.0000000000000407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254979PMC

A Novel Technique for a Successful Closed Reduction of a Bosworth Fracture-Dislocation of the Ankle.

Cureus 2020 Jan 12;12(1):e6632. Epub 2020 Jan 12.

Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, USA.

The Bosworth fracture is defined as a bimalleolar fracture-dislocation of the ankle, with entrapment of the fibula behind the posterior tubercle of the distal tibia. In the current orthopedic literature, not only is this fracture pattern rare, but this type of fracture-dislocation has also been reported to be near impossible to close reduce, with the majority requiring early open reduction and internal fixation to prevent complications and poor clinical outcomes. Reported early complications include compartment syndrome and soft tissue complications from repeated closed reduction attempts. Read More

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http://dx.doi.org/10.7759/cureus.6632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957040PMC
January 2020

[Treatment of ankle fractures : Standards, tricks and pitfalls].

Unfallchirurg 2020 Jan;123(1):43-56

UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, 01307, Dresden, Deutschland.

Ankle fractures and associated ligamentous injuries are the most common injuries of a load-bearing joint. There is still no general consensus with respect to the pathomechanism, the treatment indications and surgical techniques. The medium and long-term results are affected by a particularly high risk of posttraumatic arthritis in bimalleolar and trimalleolar fractures and fracture dislocations. Read More

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http://dx.doi.org/10.1007/s00113-019-00753-xDOI Listing
January 2020

Lithium for Fracture Treatment (LiFT): a double-blind randomised control trial protocol.

BMJ Open 2020 01 7;10(1):e031545. Epub 2020 Jan 7.

Orthopaedic Biomechanics Lab, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Introduction: Fracture healing can fail in up to 10% of cases despite appropriate treatment. While lithium has been the standard treatment for bipolar disorder, it may also have a significant impact to increase bone healing in patients with long bone fractures. To translate this knowledge into clinical practice, a randomised clinical trial (RCT) is proposed. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-031545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955565PMC
January 2020

[Diaphragmatic Injury Due to Blunt Trauma Diagnosed by a Diagnostic Thoracoscopy;Report of a Case].

Kyobu Geka 2019 Dec;72(13):1110-1113

Department of General Thoracic Surgery and Emergency Care Center, Tokyo Metropolitan Hiroo General Hospital, Tokyo, Japan.

We performed an exploratory thoracoscopy for a suspected diaphragm injury caused by a blunt-force chest trauma. A male patient in his fifties involved in a traffic accident and was transported by ambulance to our hospital. Upon arrival, his vital signs were stable, however, he was diagnosed as having fractures of the right tibia and fibula, multiple rib fractures and a slight right hemothorax. Read More

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December 2019

Carbon/PEEK nails: a case-control study of 22 cases.

Eur J Orthop Surg Traumatol 2020 May 21;30(4):643-651. Epub 2019 Dec 21.

Department of Orthopaedic and Trauma Surgery, University of Pisa, Via Paradisa, 2., 56124, Pisa, Italy.

Background: Interest around carbon/PEEK plates and nails has been raising. The elastic modulus close to the bone, the high load-carrying capacity and radiolucency make CFR/PEEK materials a potential breakthrough. In the literature, there are abundant data about CFR/PEEK plates in the treatment of proximal humerus, distal radius and distal fibula fractures. Read More

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http://dx.doi.org/10.1007/s00590-019-02602-4DOI Listing

Biomechanical Analysis of a Novel Syndesmotic Plate Compared With Traditional Screw and Suture Button Fixation.

J Foot Ankle Surg 2020 May - Jun;59(3):522-528. Epub 2019 Dec 19.

Foot and Ankle Surgeon, Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address:

Many lateral malleolus fractures have been found to have syndesmosis injuries after anatomic reduction. The main methods for the treatment of syndesmosis injuries are screw fixation and suture-button flexible fixations. In pursuit of innovation, we have designed a novel syndesmotic plate (NSP) for simultaneous fixation of lateral malleolus fractures and distal tibiofibular syndesmosis injuries. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.07.025DOI Listing
December 2019

Clinicoradiological outcomes following single-stage treatment using external fixator, copious bone grafting and high dose antibiotics for infected postosteomyelitic nonunion of femoral shaft.

J Pediatr Orthop B 2019 Dec 9. Epub 2019 Dec 9.

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Delhi, India.

We aimed to study clinical and radiological outcomes following a 'single-stage protocol' in postosteomyelitic-infected nonunion of the femur in children. The report is based on a retrospective chart review (2010-2018) of 10 children below 12 years of age presenting with nonunion following a pathological fracture after osteomyelitis of hematogenous origin treated with above-mentioned operative modality. All patients were grade A (normal host) on the basis of the physiological classification. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000704DOI Listing
December 2019

Joint-preservation surgery for pediatric osteosarcoma of the knee joint.

Cancer Metastasis Rev 2019 12;38(4):709-722

Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Sciences, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.

The multi-disciplinary approach involving imaging, multi-agent chemotherapy, meticulous surgical procedures, and careful postoperative care has facilitated an increase in the use of limb-sparing surgery for pediatric osteosarcoma. Osteosarcoma usually occurs around the metaphysis of the distal femur or proximal tibia and needs wide excision with the adjacent joint and replacement by a megaprosthesis. The recent advancement in imaging modalities and surgical techniques supports joint-preservation surgery (JPS), involving the preservation of the adjacent epiphysis, for select patients following careful assessment of the tumor margins and precise tumor excision. Read More

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http://dx.doi.org/10.1007/s10555-019-09835-zDOI Listing
December 2019

20-year trends of distal femoral, patellar, and proximal tibial fractures: a Danish nationwide cohort study of 60,823 patients.

Acta Orthop 2020 02 4;91(1):109-114. Epub 2019 Dec 4.

Department of Orthopaedic Surgery, Slagelse Hospital, Naestved, Slagelse and Ringsted Hospitals, Slagelse, Denmark.

Background and purpose - Knee fracture treatment burden remains unknown, impeding proper use of hospital resources. We examined 20-year trends in incidence rates (IRs) and patient-, fracture-, and treatment-related characteristics of knee fracture patients.Patients and methods - This nationwide cohort study of prospectively collected data including patients with distal femoral, patellar, and proximal tibial fractures from the Danish National Patient Registry during 1998-2017, assesses IRs of knee fractures (per 10 inhabitants) as well as patient-, fracture-, and treatment-related characteristics of knee fracture patients. Read More

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http://dx.doi.org/10.1080/17453674.2019.1698148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006734PMC
February 2020

Cefazolin Monotherapy Versus Cefazolin Plus Aminoglycosides for Antimicrobial Prophylaxis of Type III Open Fractures.

Am J Ther 2019 Nov 25. Epub 2019 Nov 25.

Department of Pharmacy Practice and Science, College of Pharmacy, The University of Arizona, Tucson, AZ.

Background: There are conflicting recommendations between organizations regarding aminoglycoside use for the prophylaxis of type III open fractures.

Study Question: To compare cefazolin monotherapy versus cefazolin plus aminoglycoside therapy for prophylaxis of type III open fractures in trauma patients.

Study Design: This was a multicenter, retrospective, cohort study conducted in 3 academic medical centers in the United States. Read More

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http://dx.doi.org/10.1097/MJT.0000000000001121DOI Listing
November 2019

Osteoporosis-related fractures after spinal cord injury: a retrospective study from Brazil.

Spinal Cord 2020 Apr 29;58(4):484-489. Epub 2019 Nov 29.

Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil.

Study Design: Retrospective study OBJECTIVES: To describe the epidemiological and clinical profile in a retrospective chart review of individuals with spinal cord injury (SCI) and osteoporosis-related fractures.

Setting: A Brazilian rehabilitation hospital.

Methods: This is a retrospective chart review that included 325 individuals with SCI and osteoporosis-related fractures who were admitted to a Brazilian rehabilitation hospital between January 1997 and December 2017. Read More

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http://dx.doi.org/10.1038/s41393-019-0387-9DOI Listing

A New Reference to Evaluate Syndesmosis in Sagittal Plane Radiographs of the Ankle: The Lateral Posterior Ankle Ratio.

J Am Podiatr Med Assoc 2019 Nov;109(6):426-430

Background: Confirmation of anatomical reduction of ankle syndesmosis is mandatory because improper reduction leads to poor functional results. Coronal plane evaluation of syndesmosis is well described in the literature, but there is little information about sagittal plane evaluation. We sought to evaluate the relationship of fibula and tibia in the sagittal plane and create a new reference that can be applied easily and reliably. Read More

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http://dx.doi.org/10.7547/17-134DOI Listing
November 2019

Lateral Transfibular Approach to Tibial Pilon Fractures: A Case Report.

J Am Podiatr Med Assoc 2019 Nov;109(6):459-462

We present a case of tibial pilon fracture where only the lateral part of the distal tibia was affected. The transfibular approach to the ankle was used for the surgical treatment of the fracture. After an initial nonweightbearing period of 3 weeks, full weightbearing was allowed 8 weeks after surgery. Read More

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http://dx.doi.org/10.7547/17-212DOI Listing
November 2019

Physical preparation and return to sport of the football player with a tibia-fibula fracture: applying the 'control-chaos continuum'.

BMJ Open Sport Exerc Med 2019 30;5(1):e000639. Epub 2019 Oct 30.

University of Santander (UDES), Bucaramanga, Colombia.

Contact in elite football can result in severe injury such as traumatic fracture. Limited information exists regarding the rehabilitation and return to sport (RTS) of these injuries especially in elite football. We outline the RTS of an elite English Premier League footballer following a tibia-fibula fracture including gym-based physical preparation and the use of 'control-chaos continuum' as a framework for on-pitch sport-specific conditioning, development of technical skills while returning the player to pre-injury chronic running loads considering the qualitative nature of movement in competition. Read More

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http://dx.doi.org/10.1136/bmjsem-2019-000639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830476PMC
October 2019