2,241 results match your criteria Fracture Tibia and Fibula

Analysis of Physeal Fractures from the United States National Trauma Data Bank.

Children (Basel) 2022 Jun 18;9(6). Epub 2022 Jun 18.

Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Background: Pediatric long-bone physeal fractures can lead to growth deformities. Previous studies have reported that physeal fractures make up 18-30% of total fractures. This study aimed to characterize physeal fractures with respect to sex, age, anatomic location, and Salter-Harris (SH) classification from a current multicenter national database. Read More

View Article and Full-Text PDF

Pin-tract myiasis after external bone fixation: A case report and review of literature.

Int J Surg Case Rep 2022 Jun 24;95:107247. Epub 2022 May 24.

The University of Texas at Arlington, TX, USA.

Introduction And Importance: Myiasis has been reported as a complication of fracture treatment with external fixation. Therefore, physicians should be aware of the possible re-emergence of myiasis as a complication of surgery and the use of metal fixators.

Clinical Presentation: A 45-year-old male, non-diabetic, chronic alcoholic treated with external bone fixation and flap coverage for Gustilo-Anderson type IIIB comminuted fracture of shaft of left tibia and fibula with intact distal neuro-vascular system presented with multiple maggots with foul-smelling discharge from the pin tract. Read More

View Article and Full-Text PDF

Potential of Continuous Local Antibiotic Perfusion Therapy for Fracture-Related Infections.

Infect Dis Ther 2022 May 21. Epub 2022 May 21.

Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.

Introduction: Fracture-related infections (FRIs) are challenging for orthopedic surgeons, as conventional surgical treatment and systemic antimicrobial therapy cannot completely control local infections. Continuous local antibiotic perfusion (CLAP) is a novel and innovative therapy for bone and soft-tissue infections, and is expected to eradicate biofilms by maintaining a sustained high concentration of antimicrobial agents at the infected site. If CLAP therapy can eradicate infection even in cases with implants while preserving the implants, it would be an ideal and effective treatment for local refractory infections. Read More

View Article and Full-Text PDF

Tibial-fibular geometry and density variations associated with elevated bone strain and sex disparities in young active adults.

Bone 2022 Aug 16;161:116443. Epub 2022 May 16.

Biomedical Engineering Graduate Program, 2500 University Drive NW, University of Calgary, Calgary, AB T2N 1N4, Canada; Human Performance Laboratory, Faculty of Kinesiology, 2500 University Drive NW, University of Calgary, Calgary, AB T2N 1N4, Canada; McCaig Institute for Bone and Joint Health, 3280 Hospital Dr NW, University of Calgary, Calgary, AB T2N 4Z6, Canada. Electronic address:

Tibial stress fracture is a common injury in runners and military personnel. Elevated bone strain is believed to be associated with the development of stress fractures and is influenced by bone geometry and density. The purpose of this study was to characterize tibial-fibular geometry and density variations in young active adults, and to quantify the influence of these variations on finite element-predicted bone strain. Read More

View Article and Full-Text PDF

Negative pressure wound therapy over two ipsilateral external skeletal fixators for management of high grade open fractures in a cat.

JFMS Open Rep 2022 Jan-Jun;8(1):20551169221092654. Epub 2022 May 9.

Eastcott Veterinary Referrals, Swindon, UK.

Case Summary: A 7-month-old female neutered Bengal cat was referred to the Queen Mother Hospital for Animals following unknown trauma. Clinical and radiographic examination revealed a grade IIIB open, comminuted, mid-diaphyseal fracture of the left tibia and fibula, and grade IIIB open mid-diaphyseal fractures of the left metatarsals II-V. The fractures were stabilised with tibial and metatarsal external skeletal fixators. Read More

View Article and Full-Text PDF

Lower leg symmetry: a Q3D-CT analysis.

Surg Radiol Anat 2022 May 10. Epub 2022 May 10.

Amsterdam UMC, Department of Orthopedic Surgery, Amsterdam Movement Sciences, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: In fracture and realignment surgery, the contralateral unaffected side is often used as a model or template for the injured bone even though clinically valuable quantitative data of bilateral symmetry are often unavailable. Therefore, the objective of the present study was to quantify and present the bilateral symmetry of the tibia and fibula.

Methods: Twenty bilateral lower-leg CT scans were acquired in healthy volunteers. Read More

View Article and Full-Text PDF

Short-term effects of COVID-19 on the risk of traumatic fractures in China cities.

Sci Rep 2022 04 20;12(1):6528. Epub 2022 Apr 20.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.

This study aimed to investigate the association between COVID-19 and fracture risk and provide a targeted reference for the world through China's experience. A nationally representative sample of COVID-19 prevalence areas selected using stratified random sampling was retrospectively analyzed. Age, sex, fracture site, mechanism of injury, and concurrent fractures of traumatic fracture patients in selected hospitals were collected from 10 January to 10 July 2020. Read More

View Article and Full-Text PDF

Unusual Occurrence of Incarceration and Breakage of the Coiled Shaft of the Intramedullary Reamer during Closed Intramedullary Nailing of Tibia.

J Orthop Case Rep 2021 Dec;11(12):88-91

Department of Orthopaedics, Holy Spirit Hospital, Mumbai, Maharashtra, India.

Introduction: Intramedullary (IM) nailing is a well-established method of treating closed tibia shaft fracture. We hereby describe an unusual incidence of the incarceration of the flexible IM reamer in the distal fracture fragment with breakage of the coiled shaft of the reamer in the proximal third of tibia during closed IM nailing. This case report highlights the usefulness of making a small window in the tibia to aid retrograde removal of incarcerated reamer. Read More

View Article and Full-Text PDF
December 2021

Ankle Arthrodesis using Retrograde Nail in Case of Bosworth Fracture with Ankle Dislocation : A Rare Case Report.

J Orthop Case Rep 2021 Nov;11(11):11-15

Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.

Introduction: The Bosworth fracture is a distal fibula oblique fracture with proximal fibula posterior dislocation behind the posterior tibia tubercle. Extreme external rotation of the supinated foot causes it. These types of fractures and their treatment are infrequently described in the literatures. Read More

View Article and Full-Text PDF
November 2021

Posterior pilon fracture treated by opening the fibula fracture gap.

J Orthop Surg Res 2022 Apr 7;17(1):214. Epub 2022 Apr 7.

Orthopaedic Department, General Hospital of Central Theater Command of PLA, #627 Wuluo Road, Wuchang District, Wuhan, 430070, China.

Background: Posterior pilon fracture is a relatively common clinical fracture involving the posterior articular surface of the distal tibia. Currently, this form of fracture is receiving increasing attention. The surgical approach and technique for the treatment of posterior pilon fractures are still controversial. Read More

View Article and Full-Text PDF

Syndesmosis Changes before and after Syndesmotic Screw Removal: A Retrospective Radiographic Study.

Medicina (Kaunas) 2022 Mar 18;58(3). Epub 2022 Mar 18.

Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan.

Background And Objectives: In patients with ankle fractures complicated by syndesmotic injuries, no consensus has been reached on the best method of syndesmosis fixation using syndesmotic screws. One previous study revealed no difference in the tibiofibular overlap between two groups with or without syndesmotic screw removal. Other studies have indicated that distal tibiofibular diastasis exists after the removal of syndesmotic screws. Read More

View Article and Full-Text PDF

Prospective Results of the Modified Glide Path Technique for Improved Syndesmotic Reduction During Ankle Fracture Fixation.

Foot Ankle Int 2022 Mar 24:10711007221081868. Epub 2022 Mar 24.

Tahoe Orthopedics & Sports Medicine, Lake Tahoe, CA.

Background: Malreduction after syndesmotic stabilization occurs in as many as 52% of cases and has been shown to detrimentally affect clinical outcomes. We propose that the modified Glide Path technique reduces the occurrence of syndesmotic malreduction.

Methods: This study is a prospective series comparing 16 patients reduced with the modified Glide Path technique with a retrospectively reviewed series of 25 patients reduced with a traditional technique using fluoroscopy and a clamp. Read More

View Article and Full-Text PDF

Cluster analysis demonstrates co-existing sites of fragility fracture and associated comorbidities.

M Dey M Bukhari

Osteoporos Int 2022 Jul 21;33(7):1613-1618. Epub 2022 Mar 21.

Department of Rheumatology, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay, Lancaster, LA1 4RP, UK.

We undertook cluster analysis in 11,003 patients who had sustained ≥ 1 fragility fracture, to find associations between fracture sites and comorbidities. We identified three distinct groups of fracture sites and four clusters of fractures and comorbidities. Knowledge of factors associated with fracture sites will aid prophylaxis in at-risk patients. Read More

View Article and Full-Text PDF

Lower extremity physeal fractures and post-traumatic surgical deformities; National Trauma Data Bank and institutional cohorts.

J Clin Orthop Trauma 2022 Apr 10;27:101827. Epub 2022 Mar 10.

Ann & Robert H Lurie Children's Hospital of Chicago, Division of Orthopaedic Surgery and Sports Medicine, 225 East Chicago Avenue, Box 69 Chicago, Illinois, 60611, USA.

Background: Pediatric lower extremity physeal fractures carry a risk of developing deformities. Most epidemiological evidence is over 25 years old, single institution, and lacks follow-up, while recent studies report variable results. Understanding their epidemiology and deformity risk is important for patient counseling and follow-up. Read More

View Article and Full-Text PDF

Risk Factors and Consequences of Lower Extremity Fracture Nonunions in Veterans With Spinal Cord Injury.

JBMR Plus 2022 Mar 5;6(3):e10595. Epub 2022 Jan 5.

Charlie Norwood Veterans Affairs Medical Center Augusta GA USA.

We used Veterans Health Administration (VHA) national administrative data files to identify a cohort (fiscal years 2005-2014) of veterans with spinal cord injuries and disorders (SCID) to determine risk factors for and consequences of lower extremity fracture nonunions. Odds ratios (OR) for fracture nonunion were computed using multivariable-adjusted logistic regression models. We identified three risk factors for nonunion: (i) older age (OR = 2. Read More

View Article and Full-Text PDF

infection after fracture repair of the tibia and fibula.

IDCases 2022 7;28:e01468. Epub 2022 Mar 7.

Department of Infectious Diseases, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.

is the causative agent of bovine farcy. shares common properties with rapidly growing mycobacteria, and distinguishing between and is reportedly complex and challenging. Moreover, few studies have isolated from human clinical samples. Read More

View Article and Full-Text PDF

Fibula response to disuse: a longitudinal analysis in people with spinal cord injury.

Arch Osteoporos 2022 03 19;17(1):51. Epub 2022 Mar 19.

Research Centre for Musculoskeletal Science & Sports Medicine, Department of Life Sciences, Manchester Metropolitan University, Manchester, UK.

Fibular response to disuse has been described in cross-sectional but not longitudinal studies. This study assessed fibular bone changes in people with spinal cord injury. Fibular bone loss was less than in the tibia and was not correlated together. Read More

View Article and Full-Text PDF

Contribution of Minimally Invasive Bone Augmentation With PMMA Cement in Primary Fixation of Schatzker Type II Tibial Plateau Fractures.

Front Bioeng Biotechnol 2022 1;10:840052. Epub 2022 Mar 1.

Institut Pprime UPR 3346, CNRS, ISAE-ENSMA, Université de Poitiers, Poitiers, France.

The most common type of fracture of the lateral tibial plateau is the Schatzker type II split-depressed fracture. Minimally invasive surgery using balloon reduction appears to be very promising compared to the gold standard using a bone tamp. This surgery aims to have the best reduction and stabilization to benefit from an early passive and active rehabilitation to avoid stiffening and muscle wasting. Read More

View Article and Full-Text PDF

Combination Treatment by Cross-Union of the Tibia and Fibula, Autogenic Iliac Bone Grafting, Reliable Fixation and Bone Morphogenetic Proteins for the Treatment of Refractory Congenital Pseudarthrosis of the Tibia.

J Pediatr Orthop 2022 Jul 17;42(6):e623-e629. Epub 2022 Mar 17.

Department of Pediatric Orthopedics, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai.

Background: The treatment of congenital pseudarthrosis of the tibia (CPT) remains a challenge because of the difficulties of achieving and maintaining bone union, as well as complications of joint deformity and limb-length discrepancy. The purpose of this study was to evaluate the efficacy of cross-union of the tibia and fibula in achieving union and preventing refracture for patients with refractory CPT as a complementary approach to improve upon conventional surgical treatments.

Methods: A retrospective study including patients with refractory CPT who attended our department between June 2014 and August 2020. Read More

View Article and Full-Text PDF

Establishment of a rabbit's model for modified Capanna technique.

J Plast Reconstr Aesthet Surg 2022 Feb 19. Epub 2022 Feb 19.

Department of Orthopaedics, Xijing Hospital, Air Force Medical University of PLA, China. Electronic address:

Background: Massive bone allograft with an intramedullary vascularized fibula (Capanna technique) represents one of the most widely used methods for the reconstruction of massive bone defect. However, the mechanisms, healing process, and underlying influential factors were poorly understood due to the lack of suitable experimental animal models.

Methods: Critical-sized defects (CSD) in bone were constructed in the proximal tibia of 24 rabbits and randomly divided into two groups. Read More

View Article and Full-Text PDF
February 2022

Pediatric Musculoskeletal Radiographs: Anatomy and Fractures Prone to Diagnostic Error Among Emergency Physicians.

J Emerg Med 2022 04 11;62(4):524-533. Epub 2022 Mar 11.

Division of Pediatric Emergency Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Background: Pediatric musculoskeletal (pMSK) radiograph interpretations are common, but the specific radiograph features at risk of incorrect diagnosis are relatively unknown.

Objective: We determined the radiograph factors that resulted in diagnostic interpretation challenges for emergency physicians (EPs) reviewing pMSK radiographs.

Methods: EPs interpreted 1850 pMSK radiographs via a web-based platform and we derived interpretation difficulty scores for each radiograph in 13 body regions using one-parameter item response theory. Read More

View Article and Full-Text PDF

Managing Osteopetrosis in the Complex Polytrauma Orthopedic Patient.

Cureus 2022 Feb 3;14(2):e21886. Epub 2022 Feb 3.

Orthopedic Surgery, West Virginia University School of Medicine, Morgantown, USA.

Osteopetrosis is a genetic illness defined by defective osteoclasts that are incapable of absorbing adequate amounts of bone. This exceedingly rare disorder has been linked to multiple genetic mutations that have a direct impact on osteoclast function. Osteopetrosis causes bones to become brittle with large amounts of cortical bone formation making patients susceptible to pathologic fractures, pancytopenia, and cranial neuropathies among other sequelae. Read More

View Article and Full-Text PDF
February 2022

Delayed pathologic tibial fracture with chronic osteomyelitis after fibula free flap.

Ear Nose Throat J 2022 Mar 7:1455613221075775. Epub 2022 Mar 7.

Department of Otolaryngology-Head and Neck Surgery, 23217Thomas Jefferson University Hospital, Philadelphia, PA, USA.

The reported donor site morbidity of the fibula free flap (FFF) is low; however, several uncommon complications have been reported with tibia fracture rarely being reported. We present a case of a pathological tibial fracture in the setting of chronic osteomyelitis after FFF. A 54-year-old female presented with a benign fibro-osseous lesion of the right mandible and was treated with mandibulectomy and reconstructed with a left FFF. Read More

View Article and Full-Text PDF

Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study.

J Orthop Surg Res 2022 Mar 5;17(1):142. Epub 2022 Mar 5.

Academy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.

Background: Reconstruction of large tibial defects is often a major challenge in limb salvage. This study aimed to evaluate initial follow-up results of ipsilateral fibula transfer for the treatment of large tibial defects in children.

Methods: A retrospective study was performed between September 2014 and April 2021. Read More

View Article and Full-Text PDF

Combined Tillaux and Bimalleolar Ankle Fracture in a Pediatric Patient: A Case Report.

Cureus 2022 Jan 26;14(1):e21648. Epub 2022 Jan 26.

Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, USA.

Adolescents are at risk of unique ankle fracture patterns due to closing physes. Transitional ankle fractures, in particular, are an entity specific to adolescent patients due to the asymmetrically open distal tibia physis. Transitional ankle fractures are rarely seen in combination with bimalleolar ankle fracture patterns. Read More

View Article and Full-Text PDF
January 2022

Analysis of risk factors for re-displacement of pediatric tibia fractures: A retrospective study of 196 cases.

Acta Orthop Traumatol Turc 2022 Jan;56(1):36-41

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir, Turkey.

Objective: The aims of this study were (1) to analyze the factors that may cause loss of reduction (LOR) in pediatric tibia diaphysis and distal third fractures treated with closed reduction and casting (CRC) and (2) to determine the effectiveness of cast index (CI), gap index (GI), and three-point index (TPI) in prediction of LOR.

Methods: The patients aged 0-16 years who were admitted to the emergency department between January 2014 and January 2018, with tibia diaphysis or distal third fractures and treated with CRC were included the study. A total of 196 pediatric patients (41 females, 155 males) were retrospectively evaluated. Read More

View Article and Full-Text PDF
January 2022

Characterization of vitamin D deficiency and use of a standardized supplementation protocol in orthopaedic trauma patients.

Eur J Orthop Surg Traumatol 2022 Mar 1. Epub 2022 Mar 1.

Department of Orthopaedic Surgery, Indiana University School of Medicine, 1801 N Senate Blvd, Ste 535, Indianapolis, IN, 46202, USA.

Purpose: The objectives of this study were to assess the incidence of vitamin D deficiency in orthopaedic trauma patients, evaluate the safety and efficacy of a vitamin D supplementation protocol, and investigate the utility of vitamin D supplementation in reducing nonunions.

Methods: Three hundred seventy patients with operative tibia and/or fibula fractures were retrospectively reviewed. Both overall and matched cohorts were analysed. Read More

View Article and Full-Text PDF

Low rate of malalignment using the tibial traction triangle for infrapatellar nailing of distal tibia fractures.

Injury 2022 Apr 9;53(4):1539-1542. Epub 2022 Feb 9.

Department of Population and Data Sciences, Division of Biostatistics, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Objectives: To report on the immediate postoperative alignment of distal tibia fractures (within 10 cm of the tibial plafond) treated with infrapatellar intramedullary nailing (IMN) using the tibial traction triangle (TTT).

Methods: We performed a retrospective cohort study at a Level-I academic trauma center, with eighty-one skeletally mature patients with closed distal tibia fractures treated over a 10-year period with closed infrapatellar intramedullary nailing, without fibula fixation, using the TTT. The primary outcome measure is primary malalignment ≥5°. Read More

View Article and Full-Text PDF

Maisonneuve Fractures of the Ankle: A Critical Analysis Review.

JBJS Rev 2022 02 21;10(2). Epub 2022 Feb 21.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.

»: Maisonneuve fractures (MFs), originally described as subcapital (high) fibular fractures with additional injury to the anterior and interosseous tibiofibular ligaments, display a variable injury pattern, ranging from stable to highly unstable fractures.

»: The high incidence of associated fractures of the posterior malleolus, the medial malleolus, and the anterolateral distal tibia (the "anterior malleolus") as well as the variable position of the fibula in the fibular notch (FN) warrant preoperative examination via computed tomography (CT).

»: The main goal of treatment is anatomic reduction of the distal fibula into the FN, which requires prior reduction of displaced posterior malleolar fractures, if present, to restore the integrity of the FN. Read More

View Article and Full-Text PDF
February 2022

Optimal location for fibular osteotomy to provide maximal compression to the tibia in the management of delayed union and hypertrophic non-union of the tibia.

Injury 2022 Apr 10;53(4):1532-1538. Epub 2022 Feb 10.

Human Anatomy Teaching Group, Department of Physiology, Development and Neuroscience, University of Cambridge, CB2 3EL, UK.

Background: Tibial shaft fractures are the commonest long bone fracture, with early weight-bearing improving the rate of bony union. However, an intact fibula can act as a strut that splints the tibial segments and holds them apart. A fibular osteotomy, in which a 2. Read More

View Article and Full-Text PDF