Abstract   Background: The tibial diaphyseal fractures are the most common type of long   bone fractures encountered by most orthopedic surgeons. In accordance with descriptive indices of tibia fractures on the basis of their location in the bone, distal tibia   fractures have the second incidence of all tibia fractures after the middle tibia fractures.   The purpose of the study was to asses...

BACKGROUND Tibial fractures have been associated with the highest rates of bone union disturbances for many years. Stabilization of the tibial shaft with a reamed intramedullary nail is now being increasingly recommended as a treatment of choice. The aim of this study was to evaluate the outcomes of treatment of tibial shaft non-union with reamed intramedullary nails locked distally and proxima...

This study was performed to evaluate the results of 14 years of application of Ilizarov method in treatment of infected non-unions of tibia and femur in patients with severe trauma and battlefield wounds. Seventeen patients with long bone nonunion (14 were with infected nonunion of tibia out of whom two were associated with tibial bone defects and 3 with infected non-union of femur) were admitt...

  Abstract   Background: Fractures of the tibia are important for their commonness and controversy in their management. Both conservative and surgical techniques have been introduced in an effort to speed time to :::union::: while minimizing the occurrence of complications. Standard treatment for low-energy tibial shaft fractures includes closed reduction and cast immobilization. The purpose of...

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...

Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with bip...

We reviewed 28 patients treated with partial fibulectomy combined with an Ilizarov compression frame for a non-infected tibial delayed union or non-union. Patient data, time to referral, type of fracture (open or closed), type of non-union (atrophic or hypertrophic) and period of treatment were recorded. Neither time to referral, type of fracture or type of non-union did adversely affect the du...

BACKGROUND Non-union continues to be one of the orthopedist's greatest challenges. Despite effective culture methods, the detection of low-grade infection in patients with non-union following tibial fracture still presents a challenge. We investigated whether "aseptic" tibial non-union can be the result of an unrecognized infection. METHODS A total of 23 patients with non-union following tibi...