BACKGROUND Pulsed electromagnetic fields (PEMF) stimulation for the treatment of bone nonunion or delayed union have been in use for several years, but on a limited basis. The aim of this study was to assess the overall efficacy of the method in tibial delayed unions and nonunions and identify factors that could affect the final outcome. METHODS We prospectively reviewed 44 patients (27 men) ...

OBJECTIVE To evaluate the intra-observer reproducibility of Schatzker classification for tibial plateau fractures through smartphone applications. METHODS Radiographs were evaluated in two incidences (anteroposterior and profile) and CT slices (axial, sagittal and coronal) of 37 patients with tibial plateau fracture. Two evaluators, knee surgery experts, classified the cases by viewing the im...

Aim. In these case series which are about type 3 open tibial fractures formed with three different high energy trauma etiologies in different parts of tibia. We aimed to assess our three-stage treatment approach and discuss final results of our elective surgery management with three different fixation methods. Patients and Methods. We assessed 19 patients with type 3 open tibial fractures betwe...

BACKGROUND The association of patient expectations about recovery with the development of chronic post-surgical pain (CPSP) is uncertain. METHODS Three hundred and fifty-nine patients enrolled in the SPRINT trial completed the Somatic Preoccupation and Coping (SPOC) questionnaire six weeks after a traumatic tibial fracture repair. The SPOC questionnaire measures patients' somatic complaints, ...

BACKGROUND Several systemic factors and hormones are thought to regulate the fracture healing process. Vitamin D has emerged as a compound or hormone that actively participates in the regulation of calcium homeostasis and bone metabolism. OBJECTIVES The aim of this study is to determine the serum changes in the level of vitamin D during the acute healing period of tibial and femoral shaft fra...

OBJECTIVE To compare ender nails and unreamed interlocking nails in a randomized clinical trial study. METHODS From March 2001 to March 2003, 131 patients with tibial fractures of the central two thirds of the tibia were admitted to the emergency ward of Shohada Hospital, Tabriz, Iran and were randomized to either an ender tibial nail or an undreamed interlocking tibial nail as their primary ...

We reviewed 27 diabetic patients who sustained a tibial fracture treated with a reamed intramedullary nail and compared them with a control group who did not have diabetes. There were 23 closed fractures and four were open. Union was delayed until after six months in 12 of the 23 (52%) diabetic patients with closed fractures and ten of the 23 (43%) control patients (p = 0.768). In two patients ...

OBJECTIVES To evaluate patient outcomes after treatment of lower-extremity fractures associated with blister formation and to assess complications after soft-tissue treatment using a prospective protocol. DESIGN Retrospective evaluation of prospectively collected data. SETTING Level I trauma center. PATIENTS/PARTICIPANTS Between September 1999 and September 2003, 47 patients who had susta...

BACKGROUND Lateral column tibial plateau fracture fixation with a locking screw plate has higher mechanical stability than other fixation methods. The objectives of the present study were to introduce two newly designed locking anatomic plates for lateral tibial plateau fracture and to demonstrate their characteristics of the fixation complexes under the axial loads. METHODS Three different 3...