Fatigue, or stress, fractures have been described as occurring in many situations and at widely differing ages from 15 months to 64 years. Most have occurred in young adults, particularly soldiers in training and athletes. Although fatigue fractures usually occur in weight-bearing bones, in particular the metatarsals and tibia, they also occur in the fibula, and have even been described in the ...

Aim: To determine the incidence of syndesmotic injuries in ankle fractures within the division of Orthopaedic Surgery, University of Pretoria. Methods: A total of 94 serial patients with ankle fractures were assessed for syndesmotic injury by means of ankle mortise stress views and manual traction with a bone hook. Each fracture was classified according to both the Weber and Lauge Hansen classi...

INTRODUCTION Compound distal tibia fractures have high incidence of nonunions and have varied presentation as far as status of fibula is concerned. If fibula is sufficiently healthy we can use it for bridging the nonunion of tibia. CASE REPORT We present a case of 20 year old female with compound and segmental tibia fracture. Primary stablisation by external fixation and later cast brace appl...

INTRODUCTION Open crus fracture is still difficult in clinical treatment because of the delayed fracture union and high rate of nonunion after the operation. A consensus has been reached that mechanical stress can promote fracture healing. We independently developed a stress stimulator, which can provide longitudinal pressure for the fixed fracture end of the lower legs to promote fracture heal...

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 osteo...

OBJECTIVES To evaluate the association between time to surgery, antibiotic administration, Gustilo grade, fracture location, and development of deep infection in open fractures. DESIGN Prospective cohort between 2001 and 2009. SETTING Three Level 1 Canadian trauma centers. PARTICIPANTS A total of 736 (791 fractures) subjects were enrolled and 686 subjects (93%; 737 fractures) provided ade...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...