The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on cli...

BACKGROUND While the application of compressive joint loads and thigh muscle activity are associated with anterior tibial translation in vitro, less is known during early load acceptance in vivo. We investigated the effects of increasing axial loads on anterior tibial translation and thigh muscle activity in healthy knees during transition from non-weight bearing to early weight bearing. METH...

We reviewed 25 patients with tibial diaphyseal fractures which had been complicated by an acute compartment syndrome. Thirteen had undergone continuous monitoring of the compartment pressure and the other 12 had not. The average delay from injury to fasciotomy in the monitored group was 16 hours and in the non-monitored group 32 hours (p < 0.05). Of the 12 surviving patients in the monitored gr...

Management of severe open tibial fracture with neurovascular injury is difficult and controversial. Primary amputation is an acceptable option as salvaging the injured, insensate, and ischaemic limb may result in chronic osteomyelitis and non-functional limb. We report a case of open tibial fracture associated with segmental bone and soft tissue loss, posterior tibial nerve and artery injuries,...

BACKGROUND Some research studies have investigated the effects of anterior cruciate ligament (ACL) injury prevention programs on knee kinematics during landing tasks; however the results were different among the studies. Even though tibial rotation is usually observed at the time of ACL injury, the effects of training programs for knee kinematics in the horizontal plane have not yet been analyz...

Posterolateral fractures of the tibial plateau are difficult to address. Malunion can lead early posttraumatic arthritis knee due instability and elevated joint reaction forces. Arthroscopically assisted percutaneous reduction facilitates visualization avoids open approaches either directly from posterolateral or lateral with optional extension via a epicondylus osteotomy. We describe illustrat...

Intramedullary tibial nailing was performed in ten paired cadavers and the insertion of a medial-to-lateral proximal oblique locking screw was simulated in each specimen. Anatomical dissection was undertaken to determine the relationship of the common peroneal nerve to the cross-screw. The common peroneal nerve was contacted directly in four tibiae and the cross-screw was a mean of 2.6 mm (1.0 ...

Peripheral nerve injury alters the expression of hundreds of proteins in dorsal root ganglia (DRG). Targeting some of these proteins has led to successful treatments for acute pain, but not for sustained post-operative neuropathic pain. The latter may require targeting multiple proteins. Since a single microRNA (miR) can affect the expression of multiple proteins, here, we describe an approach ...

We report a case of traumatic anterior dislocation of the left knee with an ipsilateral tibial shaft fracture in association with popliteal artery and common peroneal nerve injuries. To our knowledge, such a combination of injuries has not been reported before. All components of this injury were recognised and treated promptly with rehabilitation commencing early, resulting in a good functional...

Acute dislocation of the posterior tibial tendon is an infrequent injury that often missed. This typically observed in young individuals course sports. a case athlete who presented to our orthopedic clinic week after his ankle, following forceful eversion foot during football game. Case reports have shown satisfactory results from surgical management, suggesting this preferred treatment option....