INTRODUCTION Fracture healing and distraction osteogenesis (DO) are unique postnatal bone formation processes, and neovascularization is critically required for successful bone regeneration. We investigated endothelial progenitor cell (EPC) mobilization during bone regeneration, and the possible contribution of EPCs to increased vascularization and new bone formation, especially in DO. METHOD...

Accurate measurement of the alignment of the tibia is important both clinically and in research. The conventional method of measuring the angle of malunion after a fracture of the shaft of the tibia is potentially inaccurate because the mechanical axis of the normal bone may not pass down the centre of the medullary canal. An alternative method is described in which a radiograph of the opposite...

BACKGROUND Areal bone mineral density is predictive for fracture risk. Microstructural bone parameters evaluated at the appendicular skeleton by high-resolution peripheral quantitative computed tomography (HR-pQCT) display differences between healthy patients and fracture patients. With the simple geometry of the cortex at the distal tibial diaphysis, a cortical index of the tibia combining mat...

conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

-stress fractures with surrounding bone marrow edema are most commonly seen in the medial femoral condyle and medial tibia secondary to radial or complex tears of the medial meniscus; the bone cut off from its blood supply by the subchondral fracture is at risk to develop osteonecrosis, therefore a follow-up MRI is typically useful in this setting to ensure fracture healing and exclude the deve...

Bosworth fracture-dislocation of the ankle is a rare injury in which the proximal fibular fragment is entrapped behind the tibia. Closed reduction is extremely difficult to achieve. Early open reduction and internal fixation enables a better outcome by minimising soft-tissue damage. We report on a 36-year-old man who underwent open reduction and internal fixation for a Bosworth fracture-disloca...

Minimally invasive plate osteosynthesis (MIPO) of the distal tibia offers several theoretical advantages compared to classic open reduction and internal fixation. A mechanically stable fracture-bridging osteosynthesis can be obtained without significant dissection and surgical trauma to the bone and surrounding soft tissues. In this retrospective study we looked at the results and complications...

BACKGROUND Concomitant tibial shaft and posterior malleolar fractures (PMFs) are often encountered in clinical settings. Plain films were reviewed for concomitant PMF, and fracture patterns were analyzed by focusing on the integrity of the fibula and the location of the fibular fracture. METHODS A retrospective review of patients who presented with tibial shaft fractures between January 2005 ...

A 49 years old gentleman presented to our hospital with purulent discharge from his left leg for two months duration after sustaining an open fracture grade IIIA of left tibia and fibula in January 2016. He had a fall from 20 feet height while working and was admitted to another medical facility on 12/1/16. There were no other injuries reported. He underwent wound debridement initially and was ...

ThE JOURNAL OF BONE AND JOINT SURGERY Professional golfers play frequently and may strike an average of 800 balls a week for 40 weeks of the year, driving them at over 130 miles per hour. The forces in the tibia are very unlikely to cause a traumatic fracture in normal bone (Paul, personal communication, 1993). The previous symptoms in both cases suggest that the major fractures were due to ear...