BACKGROUND AND PURPOSE There is some clinical evidence that fracture healing is impaired in multiply injured patients. Nothing is known, however, about the effects of various types of injuries and their contribution to a possible disturbance of the fracture-healing process. We investigated the effect of a thoracic trauma and an additional soft-tissue trauma on fracture healing in a rat tibia mo...

UNLABELLED Boden et al. suggested syndesmosis fixation was not necessary in distal pronation external rotation (PER) ankle fractures if rigid bimalleolar fracture fixation is achieved and was not necessary with deltoid ligament injury if the fibular fracture is no higher than 4.5 cm of the tibiotalar joint. We asked whether height of the fibular fracture with or without medial stability predict...

The physiologic response to a simple injury was studied in a group of 24 adults suffering from uncomplicated fractures of the tibia and fibula. The dynamic changes of different protein and glycoprotein fractions were estimated. At Days 1, 4, 10, and 30 after the fracture, there was no significant alteration in the total protein levels, but the albumin decreased (18%) and and z2-globulinsincreas...

We present a case of an ipsilateral tibial shaft fracture and a distal tibial triplane fracture with an intact fibula in a 14-year-old boy. Computed tomography revealed the distal tibial triplane fracture with a 2.6-mm displaced Tillaux fragment and a posterior malleolar shear fragment. Open reduction and internal fixation was performed to optimise healing and outcome. This is a rare injury, fo...

Neglected fracture of neck of femur in young adults is a major problem in developing countries. Existing treatment options varies from osteotomy to various graft techniques (muscle pedicle, vascularized and nonvascularized fibula etc.). There is paucity of literature regarding the use of double angle barrel plate and hip screw in such cases. We conducted a prospective longitudinal observational...

a fissure was discovered extending upwards through the shaft of the tibia as far as the articular cartilage. It was accordingly f ound necessary to amputate at the knee joint. A broad anterior flap, and as long as possible, extending down, in fact, to the edge of the laceration, was dissected off", the joint was then opened and a short posterior flap cut through the muscles at the back. The joi...

BACKGROUND CONTEXT The fibula is a source of bone graft for reconstruction of the appendicular and axial skeleton. PURPOSE The aim of this study is to determine donor-site complications and morbidity in a large series of patients who underwent autogenous fibula harvesting for anterior cervical corpectomy and fusion (ACCF) surgery. STUDY DESIGN/SETTING Retrospective review (Level III). PAT...