This report discusses the use of an alternative implant in the emergency fixation of a distal tibial fracture. We planned to fix the shear-type medial malleolar fracture in a closed, tri-malleolar fracture with a locking distal tibial plate. Intra-operatively, it was noted that the required plate was unavailable. A PHILOS humeral plate seemed to fit the contours of the distal tibia. The broad e...

BACKGROUND Relatively few studies have addressed plate osteosynthesis for open proximal tibial fractures by now. The purpose of this study was to assess the results of minimally invasive plate osteosynthesis (MIPO) for open fractures of the proximal tibia. METHODS Thirty-four patients with an open proximal tibial fracture were treated by MIPO. Thirty of these, who followed for over 1 year, co...

Although epidemiologic studies of tibial plateau fractures have been conducted, none have included geographically defined populations or a validated fracture classification based on computed tomography (CT). The goals of this study were to provide up-to-date information on the incidence and basic epidemiology of tibial plateau fractures in a large unselected patient population and to report the...

The study included 51 patients with tibia fractures, who underwent percutaneous bone reposition and stabilization with unrimed tibial locking nail. The results obtained using this method were compared with those obtained by standard fracture treatment where flat and anatomic plates were applied (n = 64). In patients who had osteosynthetic material implanted percutaneously (using unrimed tibial ...

background: the treatment of open tibial fractures is still an orthopaedic challenge and full of complications. in many cases the use of external fixator that has been known as a non-:union: machine is obligatory with a high incidence of pin track infection and other complications. the aim of this study was to compare the use of external fixation as a definite method for treatment of open tibia...

We present a case of patellar fracture with avulsion fracture of the tibial posterior cruciate ligament (PCL) attachment; to our knowledge, this is the first report of its kind. Patellar fracture is often accompanied by anterior knee pain, which can make it difficult to perform the draw test and thereby mask the PCL injury. Moreover, cases of avulsion fracture of the tibial PCL attachment are r...

The surgical goals for treating proximal tibial fractures are to restore articular congruity, the mechanical axis, and knee motion while avoiding soft-tissue complications. The fracture pattern should be correctly identified and understood. For fractures with minimal intra-articular extension, fracture fixation with an intramedullary nail can decrease the risk of infection because it uses a sma...

To cite: Concha Sandoval JM, Osma Rueda JL, Sandoval Daza A. Trauma Surg Acute Care Open Published Online First: [please include Day Month Year] doi:10.1136/tsaco2016-000029 ABSTRACT Background Fixation of diaphyseal tibial fractures by plates is not considered the best option due to complications that may eventually arise; however, if principles of stability and proper surgical techniques are ...

AIM The aim of the present study is to emphasize the optimal moment and approach for tibial pilon complex fractures and their complications. MATERIAL AND METHODS We have investigated and treated 7 patients with complex fractures of the tibial pilon with tendencies to complications. According to AO classification,we have recorded 4 fractures type 43C2 AO, 2 fractures type 43C3 AO (with one ope...

Introduction: Open fractures of the leg are a reconstructive challenge. Early restoration of the soft tissue envelope has dramatically improved the outcome of these fractures with regard to deep infection and function. However the ideal tissue for covering open fractures remains controversial. Muscle is said to be superior but the mechanism is unclear. A higher blood flow was thought to be the ...