2,118 results match your criteria Fracture Tibia and Fibula

Comparison between cotton test and tap test for the assessment of coronal syndesmotic instability: A cadaveric study.

Injury 2021 Feb 26. Epub 2021 Feb 26.

Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, São Paulo, SP 05652-900, Brazil; Lab. Prof. Manlio Mario Marco Napoli, Faculdade de Medicina, Universidade de São Paulo, R. Ovidio Pires de Campos, 333, São Paulo, SP 05403-010, Brasil. Electronic address:

Introduction: In surgically treated rotational malleolar fractures, residual syndesmotic instability is typically assessed following fixation with the widely used intraoperative Cotton test. However, due to its dynamic nature, there are inconsistencies of the magnitude and direction of the distraction force when attempting to pull the fibula away from the tibia using a bone hook. The novel Tap test advances a cortical tap through a drilled hole in the fibula with a stable, unidirectional distraction force applied to the tibia. Read More

View Article and Full-Text PDF
February 2021

Suture Anchor Augmentation for Acute Unstable Isolated Ankle Syndesmosis Disruption in Athletes.

Foot Ankle Int 2021 Jun 4:10711007211015188. Epub 2021 Jun 4.

Department of Orthopedic Surgery, Seoul CM Hospital, Seoul, Korea.

Background: Isolated ankle syndesmosis disruption (without fibula fracture) causes acute pain and may cause chronic instability and pain. The aim of the present study was to evaluate the outcomes after anterior inferior tibiofibular ligament (AITFL) anatomical fixation using anchor sutures for unstable isolated syndesmosis disruption without fibular fractures.

Methods: This study assessed 22 athletes who were diagnosed with unstable isolated syndesmosis disruption with a positive external rotation test, had more than 2-mm diastasis on ultrasound, and had complete AITFL rupture on magnetic resonance imaging between 2004 and 2020. Read More

View Article and Full-Text PDF

Fracture of the tibia after a fibula graft for mandibular reconstruction: A rare complication, report of a case.

Clin Case Rep 2021 May 24;9(5):e03987. Epub 2021 May 24.

Department of Oral and Maxillofacial Surgery Leiden University Medical Centre Leiden The Netherlands.

A tibia fracture after a fibula harvest is a rare and serious condition; however, when treated adequately, it has a good outcome. The possibility of a fracture should be kept in mind and other pathology and/or metastasis should be ruled out. Read More

View Article and Full-Text PDF

Fatal Cerebral Fat Embolism After Pelvic and Multiple Long Bone Fractures without Associated Lung Injury: A Case Report.

JBJS Case Connect 2020 Oct-Dec;10(4):e2000127

1Department of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada 2Department of Critical Care, The Ottawa Hospital, Ottawa, Ontario, Canada 3Department of Pathology, The Ottawa Hospital, Ottawa, Ontario, Canada.

Case: A 29-year-old motor vehicle collision passenger presented with fractures of the pelvic ring, bilateral femurs, and right tibia/fibula. All fractures were stabilized with external fixation and fixed definitively 48 hours later. Postoperatively, the patient suffered rapid clinical decline. Read More

View Article and Full-Text PDF

Does the size of Thurston-Holland fragment have an effect on premature physeal closure occurrence in type 2 distal tibia epiphyseal fractures?

J Pediatr Orthop B 2021 May 20. Epub 2021 May 20.

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

The purpose of this study was to investigate the possible effect of Thurston-Holland fragment (THF) size on the development of premature physeal closure (PPC) in distal tibia type 2 epiphyseal injuries. Fifty-eight fractures in 57 patients with a minimum follow-up period of 12 months were included. For statistical analysis, sex and age of the patient, number of reduction attempts, percentage of THF base relative to physis length on anteroposterior or lateral radiograph, maximal initial and postreduction displacement amount, presence of accompanying fibula fracture and trauma mechanism were evaluated. Read More

View Article and Full-Text PDF

[Pattern of bone fractures in motorcycle accidents in a High Specialty Hospital].

Acta Ortop Mex 2020 Nov-Dec;34(6):376-381

División de Investigación, Facultad de Medicina UNAM, Ciudad de México. México.

Introduction: Motorcycle accidents are one of the leading causes of death and disability in Mexico's young population. There are no local studies describing the pattern of AO-based injuries.

Objective: Define the pattern and type of most common bone fractures in a Regional Hospital of High Specialty, from January to August 2017. Read More

View Article and Full-Text PDF

Prognosis of Congenital Pseudarthrosis of the Tibia: Effect of Site of Tibial Pseudarthrososis and Fibular Involvement.

J Pediatr Orthop 2021 May 18. Epub 2021 May 18.

Children's Medical Center Pediatric Orthopedic Fellowship, Tehran University of Medical Sciences Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran Faculty of Science, Yazd University, Yazd, Iran.

Background: Congenital pseudarthrosis of the tibia is a rare condition that has long been one of the most challenging concerns in pediatric orthopedic surgery. When the fracture occurs, a recalcitrant nonunion is expected. This is why successful treatment means maintaining a long-term union. Read More

View Article and Full-Text PDF

Role of Huntington procedure as a limb salvage surgery for complex gap nonunion of tibia in children.

J Clin Orthop Trauma 2021 Jul 19;18:20-24. Epub 2021 Apr 19.

Department of Orthopaedic Surgery, J. N. Medical College, Faculty of Medicine, AMU, Aligarh, UP, India.

Back Ground: Complex gap nonunion of tibia following open fractures and osteomyelitis with pathological fractures in children is a treatment challenge with unpredictable outcome. Treatment options available are bone transport bone grafting, induced membrane technique, allograft reconstruction and Huntington procedure (ipsilateral transposition of vascularized fibula). There is no consensus in the literature about which technique is optimal in the given situation. Read More

View Article and Full-Text PDF

Traumatic physeal fractures in cats: a review of 36 cases (2010-2020).

J Feline Med Surg 2021 Apr 13:1098612X211005886. Epub 2021 Apr 13.

Department of Clinical Science and Services, Queen Mother Hospital for Animals, The Royal Veterinary College, Hatfield, UK.

Objectives: The aim of this study was to describe the demography, aetiology, location and classification of physeal fractures in cats, and to describe their management and outcomes.

Methods: Clinical records and radiographs of cats referred for management of physeal fractures were retrospectively reviewed. Fractures of the proximal femoral physis were excluded. Read More

View Article and Full-Text PDF

Internal Fixation of a Lateral Inverted Osteochondral Fracture of the Talus (LIFT) Lesion Using an Innovative Surgical Approach: Inverting the Capsulo-Lateral Fibulotalocalcaneal Ligament (LFTCL)-Fibular Periosteum Complex.

J Foot Ankle Surg 2021 Mar 15. Epub 2021 Mar 15.

Division of Orthopaedic Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, University of Miyazaki, Kiyotake, Miyazaki 889-1692, Japan.

Osteotomy of the distal fibula or anterolateral corner of the tibia is usually required to fix a displaced osteochondral fracture of the talus that is located central to posterior area of the lateral talar dome. However, osteotomy is an invasive procedure and is associated with complications, including nonunion, persistent pain, and hardware-related problems. Lateral inverted osteochondral fracture of the talus (LIFT) lesion is an extremely rare type of displaced osteochondral lesion of the talus. Read More

View Article and Full-Text PDF

Ankle fractures involving the posterior malleolus: patient characteristics and 7-year results in 100 cases.

Arch Orthop Trauma Surg 2021 Apr 9. Epub 2021 Apr 9.

University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.

Introduction: The presence of a posterior malleolar (PM) fragment has a negative prognostic impact in ankle fractures. The best treatment is still subject to debate. The aim of this study was to assess the medium-to-long-term clinical and functional outcome of ankle fractures with a PM fragment in a larger patient population. Read More

View Article and Full-Text PDF

A modified Frosch approach for posterior tibial plateau fractures: Technical note and case series.

Injury 2021 Mar 18. Epub 2021 Mar 18.

IRCCS Hospital San Raffaele, Orthopaedic Department, Milan, Italy. Electronic address:

Achieving the best possible articular congruity following a tibial plateau (TP) fracture is associated with better long-term functional outcomes; TP has an essential role in the movements of the knee joint and is well established that a not optimal reduction leads to articular instability and early osteoarthritis. In recent times, 3D reconstruction from CT scan has greatly contributed to improve the surgical treatment of these fractures since an accurate preoperative plan gives the possibility to decide the best interventional strategy before the surgical incision. Reduction of the posterior part of tibial plateau is not easily achievable with standard surgical access. Read More

View Article and Full-Text PDF

Reduction and fixation of high-energy proximal tibiofibular joint dislocations: a technical trick.

Eur J Orthop Surg Traumatol 2021 Mar 31. Epub 2021 Mar 31.

Department of Orthopaedic Surgery, Harborview Medical Center, 325 9th Ave, Seattle, Washington, 98104, USA.

We present our technique for screw stabilization and our clinical experience treating a series of patients presenting with proximal tibiofibular joint fracture-dislocations. Read More

View Article and Full-Text PDF

Open reduction and internal fixation for displaced Salter-Harris type II fractures of the distal tibia: a retrospective study of sixty-five cases in children.

J Orthop Surg Res 2021 Mar 27;16(1):224. Epub 2021 Mar 27.

Children's Hospital of Soochow University, No.92 Zhongnan Street, Suzhou Industiral Park, Suzhou, Jiangsu province, China.

Background: The treatment for displaced Salter-Harris II (S-H II) distal tibia fractures remains controversial. The purpose of this study was to review S-H II distal tibia fractures and evaluate the rate of premature physeal closure (PPC) treated by open reduction and internal fixation (ORIF).

Methods: We reviewed the charts and radiographs of S-H II fractures of the distal tibia with displacement > 3 mm between 2012 and 2019 treated by ORIF. Read More

View Article and Full-Text PDF

Nontraditional Methods of Fibula Fixation.

Orthop Clin North Am 2021 Apr 10;52(2):123-131. Epub 2021 Feb 10.

Department of Orthopedics, Indiana University, IU Health, 1801 N Senate Ave, MPC1 #535, Indianapolis, IN 46202, USA. Electronic address:

This article explores different nontraditional methods that could be adopted in clinical settings as alternatives to the traditional fibular fixation. Less invasive methods, such as intramedullary nail and screw fixation, might be viable alternatives for managing ankle fractures. These methods might especially benefit patients with poor soft tissue envelopes, low immunity, and poor bone quality. Read More

View Article and Full-Text PDF

Fixation of anterolateral distal tibial fractures: the anterior malleolus.

Oper Orthop Traumatol 2021 Apr 22;33(2):125-138. Epub 2021 Mar 22.

University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Objective: The anterior tibial rim with the anterolateral tibial tubercle provides attachment to the anterior tibiofibular syndesmosis. It may be considered an anterior or "fourth" malleolus. Fixation of a displaced anterior tibial fragment in the treatment of malleolar fractures aims at providing a bone-to-bone fixation of the anterior tibiofibular ligament and restoring the integrity of the tibial incisura. Read More

View Article and Full-Text PDF

Lower Leg Fractures in Children and Adolescents-Comparison of Conservative vs. ECMES Treatment.

Front Pediatr 2021 4;9:597870. Epub 2021 Mar 4.

Department of Traumatology, Hand-, Plastic- and Reconstructive Surgery, Center of Surgery, University of Ulm, Ulm, Germany.

Lower leg fractures are one of the most common fractures in pediatric age. In general, treatment of lower leg fractures is predominantly non-operative, requiring clinical and radiological controls. Nevertheless, it can be observed that in recent years tibial shaft fractures have increasingly been treated surgically. Read More

View Article and Full-Text PDF

Seasonality of adult fragility fractures and association with weather: 12-year experience of a UK Fracture Liaison Service.

Bone 2021 Jun 16;147:115916. Epub 2021 Mar 16.

Department of Health Care for Older People, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH, United Kingdom; Division of Rehabilitation, Ageing and Wellbeing, University of Nottingham, Derby Road, Nottingham NG7 2UH, United Kingdom; National Institute for Health Research (NIHR, Nottingham Biomedical Research Centre (BRC), Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom. Electronic address:

Purpose: To investigate the monthly and seasonal variation in adult osteoporotic fragility fractures and the association with weather.

Methods: 12-year observational study of a UK Fracture Liaison Service (outpatient secondary care setting). Database analyses of the records of adult outpatients aged 50 years and older with fragility fractures. Read More

View Article and Full-Text PDF

[Minimally invasive fixation of distal fibular fractures with intramedullary nailing].

Oper Orthop Traumatol 2021 Apr 16;33(2):104-111. Epub 2021 Mar 16.

UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.

Objective: Minimally invasive osteosynthesis of distal fibula fractures serves as a biomechanically stable and soft-tissue-friendly fixation method in the case of an unstable fracture, poor bone quality, and/or critical soft tissue conditions with restoration of the length, axis and rotation of the distal fibula as well as stabilization of the ankle mortise. The goal is to reduce and stabilize the distal fibular fracture in a quick and stable manner that protects the soft tissues in ankle fractures.

Indications: Unstable malleolar fractures and fracture dislocations; fibular fractures in combination with distal tibia fractures; critical soft tissue conditions around the ankle. Read More

View Article and Full-Text PDF

Clavicle fractures: Associated trauma and morbidity.

J Clin Orthop Trauma 2021 Feb 26;13:53-56. Epub 2020 Aug 26.

Rutgers New Jersey Medical School Department of Orthopaedics, 140 Bergen Street, ACC D1610, Newark, NJ, 07103, United States.

Background: Clavicle fractures are frequently associated with trauma to regions beyond the immediate zone of injury. In order to provide surgeons with information on injury prevalence to prevent delays in diagnosis and management, we describe the epidemiology of concomitant injuries in patients with clavicle fractures and identify differences between those with open and closed fractures. Methods:The Nationwide Inpatient Sample (NIS) 2001-2013 database was queried for adult patients discharged with a diagnosis of a clavicle fracture using ICD-9 codes. Read More

View Article and Full-Text PDF
February 2021

Does the management of osteofibrous dysplasia of the tibia and fibula in children should be tailored to the extent and location of the lesion? A case control study investigating different surgical options.

Orthop Traumatol Surg Res 2021 Mar 10:102888. Epub 2021 Mar 10.

Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, 47th Shangteng Road of Cangshan District, Fuzhou 350007, Fujian Province, China. Electronic address:

Background: Osteofibrous dysplasia (OFD) is a rare non neoplastic, self-limited intracortical fibro-osseous lesion that most commonly affects the diaphysis of the tibia and fibula of children, the best treatment is still debated. Therefore we performed a retrospective study in children mostly under 10 years old with OFD aiming to determine whether early surgery is necessary and which is the best treatment.

Hypothesis: Symptomatic OFD lesions should be treated proactively, and appropriate treatment can achieve favorable outcome. Read More

View Article and Full-Text PDF

Economic impact of orthopaedic care for non-fatal gunshot wounds: analysis of a public health crisis.

Ann Transl Med 2021 Feb;9(3):210

Department of Orthopedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA.

Background: The purpose of this study was to perform an epidemiological evaluation and an economic analysis of 90-day costs associated with non-fatal gunshot wounds (GSWs) to the extremities, spine and pelvis requiring orthopaedic care in the United States.

Methods: A retrospective epidemiological review of the Medicare national patient record database was conducted from 2005 to 2014. Incidence, fracture location and costs associated where evaluated. Read More

View Article and Full-Text PDF
February 2021

Ipsilateral vascularised fibula with external locking plate for treatment of massive tibial bone defects.

Injury 2021 Jun 18;52(6):1629-1634. Epub 2021 Feb 18.

Department of Orthopaedic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.

Introduction: Management of massive tibial bone defects remains challenging for orthopaedic doctors. This study aimed to ascertain the viability and reliability of utilising an ipsilateral vascularised fibula with an external locking plate for the difficult situation.

Materials And Methods: Between January 2012 and December 2017, eight patients (7 men) with a mean age of 32. Read More

View Article and Full-Text PDF

Bosworth fracture complicated by unrecognized compartment syndrome: a case report and review of the literature.

Arch Orthop Trauma Surg 2021 Feb 17. Epub 2021 Feb 17.

Department of Surgery of 1st Faculty of Medicine, Charles University and Thomayer Hospital, Videnska 800, Prague 4, 140 00, Czech Republic.

Introduction: Compartment syndrome (CS) is exceedingly rare in ankle fractures. However, the risk of CS development seems to be increased in the presence of a Bosworth fracture-dislocation (BF), a rare variant of locked dislocation of the fibula behind the tibia.

Materials And Methods: Here, we report the case of a 39-year old man with delayed diagnosis of CS after having sustained a BF and failed attempts on closed reduction. Read More

View Article and Full-Text PDF
February 2021

[Fractures of the anterolateral tibial rim : The fourth malleolus].

Unfallchirurg 2021 Mar 12;124(3):212-221. Epub 2021 Feb 12.

UniversitätsCentrum für Orthopädie, Plastische und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

The anterolateral tibial rim with the anterior tibial tubercle (Tubercule de Tillaux-Chaput) serves as an insertion site of the anterior inferior tibiofibular ligament (AITFL). It can also be termed the anterior malleolus or fourth malleolus. Fractures of the anterolateral tibial rim typically result from an external rotation or abduction mechanism of the talus within the ankle mortise. Read More

View Article and Full-Text PDF

Bosworth-type fibular entrapment fracture of the ankle without dislocation: a rare case report and a review of the literature.

Ann Transl Med 2021 Jan;9(2):178

Departments of Orthopedic Surgery, Hyundae General Hospital, Chung-Ang University, Namyangju-Si, Kyunggi-Do, Korea.

Bosworth fracture-dislocation of ankle is a rare and irreducible type of ankle injury, with a high incidence of complication. This type of fracture was defined originally as entrapment of the proximal fragment of the fibula behind the posterior tubercle of the distal tibia. Recently, many variants of this type of fracture dislocation have been reported, but all of those reports included the syndesmosis ligament injury of ankle. Read More

View Article and Full-Text PDF
January 2021

[Ankle fractures in older patients : What should we do differently?]

Unfallchirurg 2021 Mar 10;124(3):200-211. Epub 2021 Feb 10.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert Schweitzer Campus 1, Gebäude W1, Waldeyerstr. 1, 48149, Münster, Deutschland.

As a result of the demographic developments ankle fractures in older patients are part of routine trauma surgery. Due to comorbidities, such as diabetes mellitus, reduced bone quality and limited compliance in follow-up treatment, these fractures are prone to complications. The primary goal in the treatment of older patients with ankle fractures is to maintain mobility. Read More

View Article and Full-Text PDF

Utility of laboratory markers in evaluating for acute compartment syndrome in the emergency department.

J Am Coll Emerg Physicians Open 2021 Feb 12;2(1):e12334. Epub 2020 Dec 12.

Eastern Virginia Medical School-Sentara Healthcare Analytics and Delivery Science Institute Norfolk Virginia USA.

Background: Acute compartment syndrome is diagnosed by clinical examination with the aid of direct compartmental measurement. Previous work suggested using several laboratory markers that may suggest ongoing acute compartment syndrome in hospitalized patients. Serum creatinine kinase (CK) levels >4000 U/L, chloride (Cl) levels >104 mg/dL, and blood urea nitrogen (BUN) levels <10 mg/dL were found to have 100% association with the diagnosis of acute compartment syndrome. Read More

View Article and Full-Text PDF
February 2021

Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report.

World J Clin Cases 2021 Jan;9(2):476-481

Department of Orthopedics, Pudong New Area Gongli Hospital, School of Clinical Medicine, Shanghai University, Shanghai 200135, China.

Background: Fat embolism syndrome (FES) is a rare disease characterized by pulmonary distress, neurologic symptoms, and petechial rash and seriously threatens human life and health. It is still neglected clinically because of the lack of verifiable diagnostic criteria and atypical clinical symptoms. No studies on FES with pulmonary embolism (PE) and tympanic membrane perforation have been reported to date. Read More

View Article and Full-Text PDF
January 2021

Non-vascularised Fibular Autograft for Reconstruction of Paediatric Bone Defects: An Analysis of 10 Cases.

Strategies Trauma Limb Reconstr 2020 May-Aug;15(2):84-90

Department of Orthopaedics, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.

Aim And Objective: Fibular autograft is a known technique for the reconstruction of traumatic and non-traumatic bone defects in both adult and paediatric populations. We aim to describe our outcomes using various stabilisation methods for non-vascularised fibular autograft to reconstruct both benign and malignant tumours in a paediatric population in a National Paediatric Centre over the past 14 years.

Materials And Methods: This was a retrospective review of 10 paediatric cases with non-traumatic primary bone defects in a National Paediatric Centre. Read More

View Article and Full-Text PDF
January 2021