BACKGROUND Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteosyn...

OBJECTIVES To evaluate syndesmosis-only fixation in Weber C ankle fractures with tibiofibular diastasis and to assess the need for additional fibular fixation. METHODS Twenty-one patients with Weber C ankle fractures and tibiofibular diastasis were followed for at least 24 months after treatment. In treatment of the Weber C fractures, only a syndesmosis screw was used through a mini open late...

Fractures of the posterior malleolus can occur in conjunction with fibular and medial malleolar fractures or in isolation. The indications for fixation of the posterior malleolus remain controversial except for the fragment sizes. A number of different surgical approaches and techniques for internal fixation of posterior malleolar fractures have been reported. Newer techniques such as direct ex...

Since attention was focused on the subject by Burrows (1940) many fatigue fractures of the lower fibula have been reported. Fatigue fractures of the lower tibia, however, are uncommon. Singer and Maudsley (1954), describing five cases, could find only three previous examples in the literature. I can find no record of fatigue fractures affecting the lower thirds of the tibia and the fibula of th...

Ewingella americana was recovered from a wound on the left leg of a 46-year-old male after a compound fracture of the tibia and fibula. Compared with the reported characteristics of 44 American strains, this strain was shown to belong to biogroup 1. The isolation of this bacterium in South Africa confirms its wide geographical distribution in clinical specimens. Colonization was not associated ...

The case series was conducted at the Department of Plastic Surgery, Combined Military Hospital, Rawalpindi, from June 2009 to May 2011, and comprised 19 patients in whom free fibula flap was performed for upper and lower limb reconstruction, using SPSS 16. Results showed that flap survival was 100%. One (5.2%) flap was re-explored for venous congestion and was salvaged. One (5.2%) patient of co...

Distal fibula fractures are the most common injury of weight bearing bones. Several studies have shown the benefit of locking plates especially in osteoporotic bone. The aim of this biomechanical study was to test the anatomically shaped VariAx Distal Lateral Fibula Plate in comparison to a commonly used 1/3 Tubular Plate. The implants were assembled to bone surrogates simulating a comminuted f...