The treatment of patients with tibial fractures and overweight has certain peculiarities due to the increased load on osteosynthesis device. Objective. To compare stress-strain state models lower leg a fracture tibia in upper third diaphysis under influence torsional different options depending patient's weight. Methods. Using finite element method, three types were modeled: using an external f...

*Furman, BD; *Strand, J; *Hembree, WC; *Guilak, F; +*Olson, SA +*Duke University Medical Center, Division of Orthopaedic Surgery, Durham, NC [email protected] INTRODUCTION: Post-traumatic arthritis is one of the most frequent causes of disability following trauma involving weight-bearing joints. It is estimated that 10% of the 21 million Americans suffering from osteoarthritis are post-traumati...

BACKGROUND Locking compress plate, as external fixator, is an attractive technique for distal tibial fracture treatment. But it still remains unclear whether the external LCP has sufficient stiffness. Thus, the present study aims to make a comprehensive evaluation of the stiffness of external locking compress plate when it is used as an external fixator in distal tibial fractures treatment. M...

BACKGROUND Measurement of bone mineral density by dual x-ray absorptiometry combined with clinical risk factors is currently the gold standard in diagnosing osteoporosis. Advanced imaging has shown that older patients with fragility fractures have poor bone microarchitecture, often independent of low bone mineral density. We hypothesized that premenopausal women with a fracture of the distal en...

BACKGROUND Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology ...

Fractures of the lower leg or the tibia itself, accompanied by fractures of the radius at typical sites are the most common type of fractures [1]. They occur at any age, more frequently in young people. Fractures that are considered tibial diaphyseal fractures are those that occur between the knee and ankle joint. We distinguish fractures of the upper, medial and lower thirds of the tibia [2]. ...

Aseptic non-union is a major problem following complicated fracture tibia, which carries significant morbidity and prolonged course of treatment. Plate fixation and autogenous bone grafting has been established as a method of treatment. However the risk of infection, implant failure and donor site morbidity are high. We reviewed twelve consecutive cases of established non-union tibia treated by...

BACKGROUND The bone remodeling sequence after bone fracture changes the concentrations of biochemical bone markers, but the relationships of fracture size and of healing time to changes in biomarkers are unclear. The present pilot study was undertaken to determine the changes found in serum bone markers after plate osteosynthesis of closed distal tibial and malleolar fractures during a study pe...