Femoral and tibial shaft fractures are common injuries in the United States. Since their introduction, reamed intramedullary nails have become the treatment of choice for most of these fractures. However, delayed union and nonunion can complicate treatment in up to 10% of patients. Removal of interlocking screws, or dynamization, can promote fracture healing in cases of delayed union or nonunio...

Tibial plateau fractures are common injuries that occur in a bimodal age distribution. While there are various treatment options for displaced tibial plateau fractures, the standard of care is open reduction and internal fixation (ORIF). In physiologically young patients with higher demand and better bone quality, ORIF is the preferred method of treating these fractures. However, future total k...

BACKGROUND Current management of tibial plateau fractures requires careful soft-tissue management. Often a staged approach with temporary external fixation followed by delayed internal fixation is recommended. While proven in high-energy injuries, its relevance in treating low-energy fractures has not been investigated. The goal of the current study was to assess the short-term complication rat...

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...

Tibial diaphyseal fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. There are many methods of treatment for tibial diaphyseal fractures. But now-a-days closed intramedullary interlocking nailing is emerging as treatment of choice for all closed tibial diaphyseal fractures, most of type Iand type II open fractures in adults. Closed IM IL nail...

There are several definitions for bony nonunion. We use the one that defines it as no clinical, radiographic, or scintigraphic evidence of healing 12 months after injury and by the need for secondary surgery. Delayed union is defined as the completion of union Letter to the Editor Immediate interlocking nailing versus external fixation followed by delayed interlocking nailing for Gustilo type I...

RATIONALE The knee joint is an important weight-bearing joint, tibial plateau fractures affect knee function and stability. High-energy intra-articular fractures involving the tibial plateau can cause management-related problems such as wound dehiscence; severe comminution leading to malalignment; and delayed complications such as varus collapse, implant failure, and arthritis of the knee joint...

Of 110 consecutive open tibial fractures 90 were reviewed and analysed retrospectively with particular reference to wound closure, method of stabilisation, infection rate and the incidence of non-union. There were 41% Gustilo type I, 39% type II and 20% type III injuries. The incidence of deep infection was 20% after primary wound closure compared with 3% after delayed closure, and eight of the...

This retrospective study evaluated the surgical management of 117 tibial plateau fractures treated between 1990 and 1998. At last patient follow-up, results were rated good to excellent in 94, fair in 13, and poor in 10 cases. Follow-up radiographs showed degenerative changes in the lateral compartment in 29 cases. Other complications included five wound infections, two deep venous thromboses, ...

background postoperative pain is a common complication that can lead to serious morbidities and delayed recovery. objectives the aim of this study was to investigate the effect of low-level laser therapy on acute pain after tibial fracture surgery. patients and methods in this randomized clinical trial, 54 patients who were candidate for tibial fracture surgery were allocated randomly to two gr...