BACKGROUND This study was to compare clinical and radiographic outcomes with three different implants and evaluate the effectiveness of minimally invasive plate osteosynthesis (MIPO) technique for the distal fibular fractures. METHODS We performed a retrospective cohort single-surgical team single-facility study between 2000 and 2011. 147 patients receiving surgical interventions for closed, ...

Post-traumatic premature closure of the distal fibular growth plate is a rare entity leading to shortening of the lateral malleolus. We report on a 14-year old boy who presented with a 4-year history of worsening, diffuse discomfort and swelling of his left ankle, as well as fibular shortening and talar malreduction. He had sustained a distal tibial fracture 4 years earlier and had been treated...

Prospective study of sixty patients with distal tibia fracture who underwent surgical fixation at Sri Ramachandra University between June 2010 -June 2013. Of the 60 patients included in our study 30 underwent closed intramedullary interlocking nail and 30 were treated with plate osteosynthesis (MIPO). Patients were followed up for clinical and radiological evaluation using modified Klernn and B...

BACKGROUND Fractures resulting in segmental bone loss challenge the orthopedic surgeon. Orthopedic surgeons in developed countries have the option of choosing vascularized bone transfers, bone transport, allogenic bone grafts, bone graft substitutes and several other means to treat such conditions. In developing countries where such facilities or expertise may not be readily available, the surg...

Distal fibula fractures are the most common injury of weight bearing bones. Several studies have shown the benefit of locking plates especially in osteoporotic bone. The aim of this biomechanical study was to test the anatomically shaped VariAx Distal Lateral Fibula Plate in comparison to a commonly used 1/3 Tubular Plate. The implants were assembled to bone surrogates simulating a comminuted f...

Tibia and fibula shaft fracture are common among young old, if they not managed correctly, can be debilitating in long term. Management of these fractures depends on severity,stability, pattern fracture. Options range from conservative management by plate to external fixation, especially the case an open Unfortunately, ideal fixation option (commonly used or nail) implant is always available op...

BACKGROUND Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteosyn...

OBJECTIVE To compare the fixation stability of intramedullary nails to that of locked plates for the treatment of distal metaphyseal tibia and fibula fractures. METHODS A simulated, distal metaphyseal tibia fracture was created in 8 pairs of cadaveric tibia-fibula specimens. One of each pair was treated using an intramedullary nail (Trigen IM Nail System; SN Richards, Memphis, TN) and the oth...

The article presents a very rare case of bilateral distal tibial and fibular stress fractures in a 58-year-old white male. Excessive work load was undoubtedly the direct cause of the fractures as the patient's job involved carrying heavy (about 7 kg) packs of newspapers up stairs for 4 hours every night, with the distance covered amounting to approximately 80 floors. The available literature do...

Spinal cord injury (SCI) triggers rapid loss of trabecular bone mineral density (BMD) in bone epiphyses and a loss of cortical cross-sectional area (CSA) in bone diaphyses, increasing fracture risk for people with SCI. The purpose of this study was to measure trabecular BMD and cortical CSA loss at several previously unexamined lower-limb sites (4% fibula, 12% femur, 86% tibia, cortical) in ind...