Introduction: The combination of tibia plateau and shaft fractures, previously reported as type of “bifocal” tibia fracture, is a rare injury.1 The majority of tibia plateau fractures and bifocal tibia fractures occur after high-energy trauma.1,2 The treatment of these injuries varies depending on type, mechanism of injury, and patient characteristics. Case Presentation: We report the case of o...

Background: The amount of anterior tibial translation during rehabilitation exercises is a key factor in organizing exercise regimen after anterior cruciate ligament injury. Excessive anterior tibial translation could increase the magnitude of tension imposed on injured and reconstructed anterior cruciate ligament knees. Forward lunge and open-kinetic knee extension exercises are commonly used ...

Sixty percent of open fracture wounds are contaminated at the time of injury. Despite that, the necessity for sequential multiple cultures and sensitivity studies for open fractures and their interpretation are still controversial. Predebridement, intraoperative, postoperative swabs and swabs in established infection for culture and sensitivity study were taken in 33 open tibial fractures over ...

INTRODUCTION Hip or knee dislocations are usually treated as a surgical emergency, but ipsilateral hip and knee dislocation should be considered a dual emergency that must be addressed immediately and reduced at the earliest. We present here the sequence of events and the final functional outcome of one such rare injury manages by us. CASE REPORT A 22-year-old male was involved in a road traf...

Pseudoaneurysm of the posterior tibial artery (PTA) is uncommon, and they mainly occur following high-velocity trauma, open fractures and can be iatrogenic in nature. To the best of our knowledge, this is the first reported and successfully treated case of PTA pseudoaneurysm identified as a consequence of tibia fracture nonunion in an otherwise healthy young individual 6 months following the or...

The evolution of a fracture non-union is complex; treatment strategies are therefore challenging. The use of BMP-7 could be an interesting adjunct. We present an overview of the monitored use of this product in tibial non-unions in Belgium. Our retrospective data covers 53% (62 patients) of the cases in which it was used between 2001 and 2006. Questionnaires were sent to surgeons who had been u...

PURPOSE OF THE STUDY The objective of this study is to evaluate the effect of posterior tibial slope after fracture healing on antero-posterior knee laxity, functional outcome and patient satisfaction. MATERIAL AND METHODS 126 patients who were treated for tibial plateau fractures between 2008-2013 in the orthopedics and traumatology department of our institution were evaluated for the study....

Open tibial shaft fractures are the most common of long-bone open fractures. Management of the fracture is either by intramedullary nailing (IMN) or by external fixation (EF). Since the literature does not indicate clearly which is more effective, a meta-analysis was conducted to establish which approach is more suitable to treat Gustilo type III fractures. MEDLINE, the Cochrane Central Registe...

Background: Tibial plateau fractures, complex injuries, are observed following highand low-energy traumas. The main goals of the treatment are to restore the extremity alignment and articular surface, and to obtain the early knee motion and rehabilitate the patient. We aimed to evaluate the effect of trauma severity on clinical and radiological results in the treatment of tibial plateau fractur...

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...