Background: The multitude, diversity, and complexity of tibial plateau fractures make them difficult to treat. In theliterature, the indications for non-operative vs operative management differ substantially. Varied surgeons haveadvocated different treatment procedures, with some advocating conservative others advocatingfor aggressive management.Objectives: To compare surgical percutaneous CC s...

OBJECTIVES To investigate longterm pain and disability subsequent to a tibial shaft fracture treated conservatively. DESIGN AND SETTING Subjects who had sustained a tibial shaft fracture more than 27 years ago were compared with those who had not. SUBJECTS 572 fracture patients (identified from the records of the plaster room) aged over 16 at the time of injury were contracted and were comp...

BACKGROUND Open fractures of tibia have posed great difficulty in managing both the soft tissue and the skeletal components of the injured limb. Gustilo Anderson III B open tibial fractures are more difficult to manage than I, II, and III A fractures. Stable skeletal fixation with immediate soft tissue cover has been the key to the successful outcome in treating open tibial fractures, in partic...

The diaphyseal tibia fracture is best treated with intramedullary nail but in some cases where the nail is not applicable, plate fixation will be the next option of fixation. The extensile anterior approach is normally used for conventional compression plate fixation in tibia shaft fractures. The extensive surgical dissection may devitalizes the bony fragments and interfere with the fracture un...

Background. The combined occurrence of ACL rupture with a posterolateral tibial plateau fracture has not yet been reported. Two cases of such injuries have been treated in our department for the past three years. Findings. The two patients both suffered injuries from traffic accidents. The radiological examinations showed a ruptured ACL with fracture of the posterolateral tibial plateau. Recons...

Nonunion is known to occur in up 10% of all bone fractures. Until recently, the treatment options considered cases delayed union and nonunion focused on revision surgery improvement local healing. Lately, teriparatide has been introduced as an osteoanabolic factor that induces fracture healing with or nonunions. We report a series five nonunions treated teriparatide: unions atypical femoral fra...

Parathyroid hormone-related protein (PTHrP) is widely expressed in the fibrous outer layer of the periosteum (PO), and the PTH/PTHrP type I receptor (PTHR1) is expressed in the inner PO cambial layer. The cambial layer gives rise to the PO osteoblasts (OBs) and osteoclasts (OCs) that model/remodel the cortical bone surface during development as well as during fracture healing. PTHrP has been im...

Background: Presentation of proximal tibia stress fracture is not infrequent among elderly patients due to their poorbone stock. Optimal management of patients with severe gonarthrosis of the knee and concurrent tibial stress fracture isnot known yet. In this study we report the outcome of primary total knee arthroplasty (TKA) using stemmed componentsin elderly patients.Methods: Between 2009 an...