OBJECTIVE To describe a modification of the cranial closing wedge ostectomy (CCWO) technique and to compare its efficacy to the standard technique on cadaveric specimens. METHODS The standard and modified CCWO technique were applied to eight pairs of cadaveric tibiae. The following parameters were compared following the ostectomy: degrees of plateau levelling achieved (degrees), tibial long a...

BACKGROUND The purpose of our retrospective study was to evaluate the preliminary result of distraction osteogenesis in patient with tibial shortening after initial union of Congenital Pseudarthrosis of the Tibia (CPT). METHODS All the CPT cases with tibial shortening after initial union managed by proximal tibial lengthening using Ilizarov technique were identified. All the patient charts an...

Proximal tibial fractures considered a more challenging injury. The goals of treating these fractures are: achieving bony union, restoring soft tissue vitality, preventing infection and instituting early joint motion and muscle rehabilitation [1]. A wide variety of nonsurgical and surgical methods of treatment are available. They can be used in isolation or in interesting combinations involving...

Background The triplane fracture, a unique transitional physeal injury, is classically described in the distal tibia. A small number of additional anatomic locations are documented in the orthopaedic literature. Methods Available literature surrounding triplane fractures was reviewed. We describe a rare case of a proximal tibial triplane fracture in a thirteen-year-old girl, suffered during a...

introduction: intramedullary nailing (imn) of high tibia fracture has some mechanical and biological advantages over the other form of fixation. however, valgus, apex anterior malalignment and anterior displacement of proximal fragment commonly occur after isolated imn fixation of proximal high tibia fracture. the purpose of this study is to determine the effectiveness of using 3.5-mm locking c...

Background: Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challengingcases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA)in this patient population.Methods: PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of agewith osteoporosis or knee...

Hoffa fractures are known as coronal fractures of the femoral condyle and are rare injuries account for less than 1% of distal femur fractures [1-4]. The association of Hoffa fracture and proximal tibial fractures is even rarer [5]. It is an intraarticular fracture of the posterior aspect of the femoral condyle in coronal plane, resulting from high-energy traumas motor vehicle accidents (most c...