OBJECTIVES To evaluate the association between time to surgery, antibiotic administration, Gustilo grade, fracture location, and development of deep infection in open fractures. DESIGN Prospective cohort between 2001 and 2009. SETTING Three Level 1 Canadian trauma centers. PARTICIPANTS A total of 736 (791 fractures) subjects were enrolled and 686 subjects (93%; 737 fractures) provided ade...

We report the case of a 14-year-old boy who sustained a displaced triplane fracture of the distal radius. This was treated with closed reduction and application of a cast with good clinical and radiological results. We discuss (for the first time) the reasons for the rarity of this fracture at the distal radius compared to the distal tibia.

The management of extraarticular fracture of the distal tibia remains controversial. Surgeons are not very keen on using intramedullary interlocking nail for these fractures because of diffi cult nail fi xation, wider medullary canal in the distal tibia and late angulation .The advent of newer nails with locking holes in the distal parts has made nailing possible even in cases of distal tibia f...

The treatment of fractures proximal and distal tibia is challenging, because the limited soft tissue envelope poor vascularity. best remains controversial it depends on fracture morphology, displacement comminution. Treatment options vary from closed reduction cast to open internal fixation with plate. Open plate can result in extensive dissection devitalization. We conducted a study management...

Two cases of the severe fracture-dislocation of the cervical spine with tetraplegia have been treated successfully with a new technique. This technique consists of anterior vertebral body fusion with a tibia span added to the Cloward's method. This procedure permitted substantial removal of ruptured disks and bone fragments, effectivelly strengthened the spine weakened by fracture, and also ena...

Three women with osteoarthritis of the knee presented after sudden worsening of their symptoms. In each case this was found to be due to a stress fracture of the tibia. With treatment by rest and reduced activity, the fracture healed uneventfully in all three patients.

OBJECTIVES Delayed and nonunion of the tibia are not uncommon in orthopaedic practice. Multiple methods of treatment have been developed with variable results. The objective of this study was to define disease-specific and treatment-related factors of prognostic significance in patients undergoing shock wave therapy for tibia nonunion. DESIGN Retrospective analysis. PATIENTS One hundred nin...

Background: Newer generation intramedullary (IM) tibial nails provide several distal interlocking screw options. The objectives were to determine: 1) if the new oblique interlocking option provides superior stability, 2) which screw orientation/ configuration is the most biomechanically stable, and 3) if three distal interlocking screws provide better stability. Methods: A preliminary experimen...

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 osteo...

Introduction: Tibia is the most common long bone involved in fracture during Road Traffic Accident (RTA) because of its subcutaneous location. Intramedullary nail fixation remains treatment choice for unstable and displaced tibial shaft fractures adult. The goals surgical are to achieve osseous union restore length, alignment, rotation fractured tibia. nailing carries advantage minimal dissecti...