12,097 results match your criteria tibia fractures


Functional and Radiological Outcome Analysis of Osteoperiosteal Decortication Flap in Nonunion of Tibia.

Adv Orthop 2021 21;2021:7980602. Epub 2021 Jul 21.

Department of Paediatric Orthopaedics, KGMU, Lucknow, India.

Introduction: The treatment of long bone shaft nonunions is challenging. The technique of osteoperiosteal decortications flap for approaching the nonunion site coupled with fixation modalities was first described by Judet in 1963. Despite promising clinical and radiological union, this technique is not popular among orthopaedic surgeons. Read More

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Locally developed external fixators as definitive treatment of open tibia diaphyseal fractures: a clinical prospective study conducted in Ivory Coast.

Int Orthop 2021 Jul 31. Epub 2021 Jul 31.

Experimental and Clinical Research Institute (IREC), Neuro-Musculo-Skeletal Pole (NMSK), Université Catholique de Louvain, Brussels, Belgium.

Background: This study sought to evaluate the effectiveness of locally developed external fixators (LDEF) as definitive treatment for open tibia diaphyseal fractures (OTDF) in Ivory Coast.

Methods: Gustilo I, II, and IIIA OTDFs of patients admitted within 24 hours of injury were prospectively included and treated with LDEF. The rates of union, mal-union, septic complications, as well as the functional results were assessed, in addition to the LDEF construct's integrity. Read More

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Pulsed Electromagnetic Field Affects the Development of Postmenopausal Osteoporotic Women with Vertebral Fractures.

Biomed Res Int 2021 16;2021:4650057. Epub 2021 Jul 16.

Department of Orthopedics, Qinghai Provincial People's Hospital, Qinhai, China.

Background: Postoperative pain, dysfunction, and significant bone loss may occur after vertebral fractures, which will lead to the occurrence of refractures and shorten the survival time, so postoperative rehabilitation is very important. Pulsed electromagnetic field therapy is noninvasive, pain-relieving, and beneficial to reduce bone loss and is an important treatment for patients to recover after surgery. Therefore, this study analyzed the effect of postmenopausal women's vertebral fracture rehabilitation after pulsed electromagnetic field treatment. Read More

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Bilateral Tibial Proximal Fractures Caused by Secondary Osteomalacia due to Autoimmune Polyendocrine Syndrome Type 2: A Case Report.

J Orthop Case Rep 2021 Apr;11(4):14-17

Department of Orthopedic Surgery, Kobe University Graduate, School of Medicine, Chuo-ku, Kobe, Japan.

Introduction: Hypophosphatemic osteomalacia can be overlooked or confused with other musculoskeletal disorders due to the variety of associated clinical, laboratory, and radiographic findings. If osteomalacia is diagnosed early and the fractures are not displaced, they often heal with nutritional supplements, but, if they progress to displaced fractures, they may require surgical intervention.

Case Report: We present a case of secondary osteomalacia due to autoimmune polyendocrine syndrome Type 2 due to this condition, the patient developed bilateral tibial proximal fractures and her varus deformity had progressed. Read More

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Deformity Correction, Surgical Stabilisation and Limb Length Equalisation in Patients with Fibrous Dysplasia: A 20-year Experience.

Strategies Trauma Limb Reconstr 2021 Jan-Apr;16(1):41-45

Department of Paediatric Orthopaedics and Trauma Surgery, Sheffield Children's NHS Foundation Trust, Sheffield, South Yorkshire, United Kingdom.

Introduction: Fibrous dysplasia (FD) of bone can be present with pain, deformity and pathological fractures. Management is both medical and surgical. Little literature exists on the surgical management of both monostotic and polyostotic FD. Read More

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Combined Intraoperative Arthroscopic and Fluoroscopic Guided Reduction of a Lateral Tibial Plateau Fracture Using Minimally Invasive Metaphyseal and Intraarticular Fixation: Description of a Surgical Technique.

Cureus 2021 Jun 22;13(6):e15834. Epub 2021 Jun 22.

Orthopedic Surgery, King Saud University, Riyadh, SAU.

Tibial plateau fractures are quite common among lower limb fractures Several fracture classifications exist including Schatzker classification, in which tibial plateau fractures are divided into six types where each increasing numerical category indicates increasing severity of the injury and worsening prognosis. Arthroscopic-assisted techniques using a lateral or medial metaphyseal window have shown results comparable to open internal fixation methods with multiple advantages. We present a case of a medically and surgically free 40-year-old lady who presented to our emergency department complaining of left knee pain following a fall from the stairs. Read More

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Pathological fracture in paediatric bone tumours and tumour-like lesions: A predictor of benign lesions?

Br J Radiol 2021 Jul 28:20201341. Epub 2021 Jul 28.

Department of Radiology, Royal National Orthopaedic Hospital, Stanmore, UK.

Objective: To determine the incidence and causes of pathological fractures in paediatric bone tumours and tumour-like lesions, and to determine if they are predictive of benign lesions.

Methods And Materials: Retrospective review of children with suspected bone tumours referred to a specialist musculoskeletal oncology service between September 2019 and August 2020. Data recorded included patient age and gender, lesion location, the presence of a pathological fracture on the initial plain radiograph, and the final diagnosis made either by image-guided biopsy/curettage or based on typical imaging features. Read More

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Medial Tibial Plateau Stress Fracture Following Navigated Total Knee Arthroplasty: Two Case Reports.

Am J Case Rep 2021 Jul 27;22:e933005. Epub 2021 Jul 27.

Department of Surgery, Sarah Bush Lincoln Health Center, Mattoon, IL, USA.

BACKGROUND Computer navigation in total knee arthroplasty has been gaining worldwide interest among orthopedic surgeons. While there is controversial data regarding its potential better clinical outcomes compared to conventional total knee arthroplasty, it has been shown to improve component and limb alignment reliability at a potential cost of increased complications. We present 2 case reports of medial tibial stress fracture through navigated tibial cutting block pinhole sites. Read More

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Pin Leverage Technique: A Simple Percutaneous Technique for Elevation of Posterolateral Tibial Plateau Fractures.

Indian J Orthop 2021 Jul 11;55(Suppl 2):473-480. Epub 2021 Apr 11.

Division of Orthopaedics, Trauma and Spine Surgery, Ganga Hospital, 313 Mettupalayam Road, Coimbatore, 641043 India.

Depressed lateral tibial plateau fractures with a large central or posterior fragment can be seen in isolation or association with complex proximal tibia fractures. Conventionally elevation of the large depressed fragment is done by bone tamp through a medial metaphyseal window in isolated fractures, or the fractured window in associated complex fracture scenarios. Though various instruments have been devised for this purpose, reaching the posterior aspect of lateral condyle through the medial metaphyseal window is not always easy, considering the difficulty in aiming and trajectory. Read More

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Posterolateral Plating of Distal Tibia Fractures: Extending the Use of a Familiar Approach.

Indian J Orthop 2021 Jul 16;55(Suppl 2):426-435. Epub 2021 Apr 16.

Department of Orthopaedic Surgery, Ng Teng Fong General Hospital, 1 Jurong East Street 21, Singapore, 609606 Singapore.

Background: Distal tibia fractures present challenges in surgical management and when nailing is not an option, plate osteosynthesis is performed. This is usually done with a minimally invasive approach to reduce the risk of wound complications in an already fragile soft-tissue envelope. We propose that a posterolateral open approach can lead to stable fixation construct and comes with advantages of approaching fibula fractures via same approach and has a thicker soft tissue envelope over the fixation. Read More

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A correlation analysis of short-term imaging manifestations and long-term function using ROC curve after tibial fracture surgery.

Am J Transl Res 2021 15;13(6):6724-6730. Epub 2021 Jun 15.

Department of Imaging, Jinggangshan University Affiliated Hospital Ji'an 343000, Jiangxi Province, China.

Objective: To investigate the correlation between short-term imaging techniques and long-term function using receiver operating characteristic (ROC) curve after tibia fracture surgery.

Methods: Seventy patients with tibia fracture admitted to our hospital were selected as the study subjects, and were divided into a < 60 years old group (n = 40) and a ≥ 60 years old group (n = 30), a removed internal fixation group (n = 26) and a retained internal fixation group (n = 44). The short-term imaging results, long-term function, the degree of pain, the range of ankle joint motion, and the subjective satisfaction of patient care were scored and compared among the four groups. Read More

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Serum glycine levels are associated with cortical bone properties and fractures risk in men.

J Clin Endocrinol Metab 2021 Jul 23. Epub 2021 Jul 23.

Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.

Context: In a recent study a pattern of 27 metabolites, including serum glycine, associated with bone mineral density (BMD).

Objective: To investigate associations for serum and urinary glycine levels with BMD, bone microstructure and fracture risk in men.

Methods: In the population based MrOS Sweden study (men, 69-81 years) serum glycine and BMD were measured at baseline (n=965) and 5-year follow up (n=546). Read More

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Bilateral Tibial Stress Fractures and Osteoporosis in a Young Patient.

Sports Health 2021 Jul 23:19417381211032127. Epub 2021 Jul 23.

Division of Rheumatology, Physical Therapy and Rehabilitation Department, Firat University Hospital, Elazığ, Turkey.

Stress fractures result from microscopic bone injury due to repetitive submaximal stress and include fatigue and insufficiency fracture components. Fatigue fractures generally occur in runners and athletes and are caused by abnormal physical load on the bone. On the other hand, insufficiency fractures are generally seen in the elderly secondary to osteoporosis, typically involving the pelvis and surrounding bones. Read More

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BIOMIMETIC SPONGES IMPROVE FUNCTIONAL MUSCLE RECOVERY FOLLOWING COMPOSITE TRAUMA.

J Orthop Res 2021 Jul 21. Epub 2021 Jul 21.

Department of Biomedical Engineering, Parks College of Engineering, Aviation, and Technology, Saint Louis University.

There is a dearth of therapies that are safe and effective for the treatment of volumetric muscle loss (VML), defined as the surgical or traumatic loss of muscle tissue, resulting in functional impairment. To address this gap in orthopedic care, we developed a porous sponge-like scaffold composed of extracellular matrix (ECM) proteins (e.g. Read More

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Outcomes of displaced adolescent distal third tibia fractures: can we do better?

J Pediatr Orthop B 2021 Jul 19. Epub 2021 Jul 19.

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Department of Orthopaedic Surgery, Musculoskeletal Research Center Department of Orthopaedic Surgery, University of Colorado Denver Department of Orthopaedic Surgery, Children's Hospital Colorado, Aurora, Colorado, USA.

Objectives: Because adolescent distal third tibia fractures pose treatment challenges, we aimed to identify factors predictive of failure among common treatment methods: casting without manipulation, closed reduction and casting (CRC) and open treatment. Among displaced fractures, we compared outcomes between CRC versus open treatment.

Methods: Skeletally immature individuals (10-17 years) with extra-articular distal third tibia fractures at a level 1 trauma center (2011-2017) were retrospectively reviewed. Read More

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Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT).

BMC Musculoskelet Disord 2021 Jul 20;22(1):631. Epub 2021 Jul 20.

Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.

Background: This study was to evaluate the effects of repetitive brief ischemia (RBI) on bone healing in patients with tibial shaft fractures.

Methods: In this prospective clinical trial, patients with tibia shaft fractures were enrolled between January 2016 and January 2021. The intermittent pneumatic compression (IPC) device was used to make RBI on the affected limb after surgical operation 24 h. Read More

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Use of aromatase inhibitors in patients with breast cancer is associated with deterioration of bone microarchitecture and density.

Arch Endocrinol Metab 2021 Jul 16. Epub 2021 Jul 16.

Divisão de Endocrinologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil,

Objective: To evaluate changes in bone density and architecture in postmenopausal women with breast cancer (BC) and use of aromatase inhibitor (AI).

Methods: Thirty-four postmenopausal women with BC, without bone metastasis, renal function impairment and who were not receiving bone-active drugs were selected from a population of 523 outpatients treated for BC. According to the presence of hormonal receptors, HER2 and Ki67, seventeen had positive hormonal receptors and received anastrozole (AI group), and seventeen were triple-negative receptors (non-AI group), previously treated with chemotherapy. Read More

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Lower tibial shaft spiral fracture concurrent with distal tibial triplane fracture.

Curr Med Imaging 2021 Jul 16. Epub 2021 Jul 16.

Department of Radiology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei Province, China.

Background: The clinical and imaging features of lower tibial shaft spiral fracture, concurrent with distal tibial triplane fracture, are not clear.

Introduction: Consequently, this study was aimed to investigate these features for correct diagnosis, treatment, and prevention of possible premature physeal arrest or angular deformation.

Method: Patients with lower tibial shaft spiral fracture concurrent with distal tibial triplane fracture were enrolled, and the clinical, imaging, treatment, and follow-up data were analyzed. Read More

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Combined plate and nail fixation of bicondylar tibial plateau fractures.

Injury 2021 Jul 9. Epub 2021 Jul 9.

Associate Professor, University of California, Irvine, 101 The City Drive South, Building 29A, Pavilion III - 2nd Floor, Irvine, Orange, CA, 92868, USA. Electronic address:

Introduction: Bicondylar tibial plateau fractures with meta-diaphyseal comminution commonly have a compromised soft tissue envelope. Combined plate-nail fixation is an emerging technique that utilizes a limited anterolateral approach for plate application and percutaneous incisions for placement of an intramedullary nail. This technique alleviates the need for a separate medial approach to the proximal tibia. Read More

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The level of bifurcation of peroneal artery and its implications for posterolateral approach to the ankle: a CT angiography study.

Surg Radiol Anat 2021 Jul 17. Epub 2021 Jul 17.

Department of Orthopaedic Surgery, University Hospital of Heraklion, Crete, Greece.

Purpose: This study aims to provide data, with the use of computed tomography angiography, regarding the level of bifurcation of the peroneal artery to the anterior perforating branch and the lateral calcaneal branch, in relation to the osseous anatomic structures of the tibial plafond, the medial malleolus and the lateral malleolus.

Methods: The study included patients who underwent diagnostic computed tomography angiography of the lower extremities. Measurements were performed in two-dimensional reconstructions and included the perpendicular distance from peroneal artery bifurcation into anterior perforating branch and lateral calcaneal branch to the lowest level of tibial plafond (D1), medial malleolus (D2) and lateral malleolus (D3). Read More

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The use of 'blocking' screws for the 'closed' reduction of difficult proximal and distal femoral fractures.

EFORT Open Rev 2021 Jun 28;6(6):451-458. Epub 2021 Jun 28.

Orthopaedic and Trauma Department, 'Evangelismos' General Hospital, Athens, Greece.

Most meta-diaphyseal femoral fractures that are treated with intramedullary nailing can be reduced satisfactorily by skeletal traction without 'opening' the fracture site and therefore, complications such as nonunion, infection and wound healing problems are reduced.In cases where adequate fracture reduction cannot be achieved by skeletal traction, 'reduction aids' have been used during the operative procedure in order to avoid the exposure of the fracture site.The 'blocking' screw, as a reduction tool, was proposed initially for the 'difficult' metaphyseal fractures of the tibia. Read More

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Timing of Flap Coverage With Respect to Definitive Fixation in Open Tibia Fractures.

J Orthop Trauma 2021 Aug;35(8):430-436

Strong Memorial Hospital, Rochester, NY.

Objectives: We conducted a large, U.S wide, observational study of type III tibial fractures, with the hypothesis that delays between definitive fixation and flap coverage might be a substantial modifiable risk factor associated with nosocomial wound infection.

Design: A retrospective analysis of a multicenter database of open tibial fractures requiring flap coverage. Read More

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Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients.

J Orthop Trauma 2021 Aug;35(8):391-400

Department of Orthopaedic Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Objectives: To assess the effectiveness of suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing of tibia fractures in anterior knee pain, complications (retropatellar chondropathy, infection, and malalignment) and physical functioning and quality of life. A clinical question-driven and thorough systematic review of current literature is provided.

Data Source: PubMed and Embase databases were searched for studies published between 2010 and 2020 relating to SP and IP-nailing of tibia fractures. Read More

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Open tibial fractures: An overview.

J Clin Orthop Trauma 2021 Sep 24;20:101483. Epub 2021 Jun 24.

Division of Orthopaedics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Open tibial fractures are complex injuries with multifactorial outcomes and variable prognosis. The close proximity of the tibia to the skin makes it prone to extensive soft tissue damage and subsequent detrimental complications, such as infection and non-union. Thus, they were historically associated with high rates of amputation, sepsis, or even death. Read More

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September 2021

Clinical outcomes of osteosynthesis of well-fixed periprosthetic proximal tibial fractures (Felix type 2A) after total knee arthroplasty.

Injury 2021 Jul 1. Epub 2021 Jul 1.

Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505,Republic of Korea. Electronic address:

Aims: This study aimed to evaluate the clinical and radiologic outcomes of well-fixed periprosthetic tibial fractures after TKA.

Patients And Methods: The medical records of patients who presented with Felix type 2A periprosthetic tibial fractures after TKA between March 2015 and February 2020 were retrospectively obtained from 5 institutions. Data on injury mechanism, fracture pattern including open fractures and Felix classification, and surgical method were recorded. Read More

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A novel intramedullary nail to control interfragmentary motion in diaphyseal tibial fractures.

J Orthop Res 2021 Jul 12. Epub 2021 Jul 12.

The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children in Alliance with UCLA, Los Angeles, California, USA.

Numerous animal and human studies have demonstrated the benefit of controlled interfragmentary motion on fracture healing. In this study, we quantified interfragmentary motion and load transfer in tibial fractures fixed using a novel intramedullary nail (IMN) that allows controlled axial motion. Fifty composite tibias with various fracture patterns were utilized. Read More

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Clinicoradiological Outcome of Concomitant Fractures of Proximal Femur and Femoral Shaft Treated With Second-Generation Cephalomedullary Nailing.

Cureus 2021 Jun 1;13(6):e15381. Epub 2021 Jun 1.

Orthopaedics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, IND.

Background The ideal modality of treatment of concomitant fractures of the hip (intertrochanteric/femoral neck) and the femoral shaft is still evolving. The aim of our retrospective study was to assess the clinicoradiological outcome of such fractures managed by closed second-generation cephalomedullary nailing. Methodology The study was conducted among skeletally mature patients presenting within one week of injury who underwent closed second-generation cephalomedullary nailing (proximal femoral nail). Read More

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Formulae derived from Anthropometric Measurements to Estimate Ideal Tibial Nail Length.

Acta Ortop Bras 2021 Mar-Apr;29(2):76-80

Metin Sabanci Baltalimani Bone Disease Research and Training Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

Introduction: Ideal Nail Length (INL) provides better outcomes after Intramedullary Nailing (IMN) of Tibia Shaft Fractures (TSF). Intraoperative methods do not allow for preoperative planning. Changing the nail may cause complications. Read More

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September 2020

Co-producing a multi-stakeholder Core Outcome Set for distal Tibia and Ankle fractures (COSTA): a study protocol.

Trials 2021 Jul 12;22(1):443. Epub 2021 Jul 12.

Warwick Research in Nursing, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Ankle fracture is a common injury with a strong evidence base focused on effectiveness of treatments. However, there are no reporting guidelines on distal tibia and ankle fractures. This has led to heterogeneity in outcome reporting and consequently, restricted the contribution of evidence syntheses. Read More

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Tibial shaft fractures - to monitor or not? a multi-centre 2 year comparative study assessing the diagnosis of compartment syndrome in patients with tibial diaphyseal fractures.

Injury 2021 Jun 18. Epub 2021 Jun 18.

Edinburgh Orthopaedics - Trauma, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom; Centre for Population Health Sciences, Usher Institute, University of Edinburgh. Electronic address:

Aims: The aim of this study was to compare the outcome in patients who did and did not undergo continuous compartment pressure monitoring (CCPM) following a tibial diaphyseal fracture.

Patients And Methods: We performed a retrospective cohort study of 287 patients with an acute tibial diaphyseal fractures who presented to three centres over a two-year period. Demographic data, diagnosis, management, wound closure, complications, and subsequent surgeries were recorded. Read More

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