BACKGROUND The rat fracture fixation models have been widely adopted, but current implant designs suffer from operational difficulty, massive soft-tissue dissection, and radiological intervention. The authors developed a new tibia fracture-healing model using minor invasive intramedullary fixations with polyetheretherketone (PEEK) threaded rods, which have excellent x-ray translucency and no ma...

The diaphyseal tibia fracture is best treated with intramedullary nail but in some cases where the nail is not applicable, plate fixation will be the next option of fixation. The extensile anterior approach is normally used for conventional compression plate fixation in tibia shaft fractures. The extensive surgical dissection may devitalizes the bony fragments and interfere with the fracture un...

The combination of plate and intramedullary nailing has been established as the treatment proximal tibial fractures. Nevertheless, at distal end tibia, application plate-assisted is rarely applied a therapeutic technique. authors provide technical note on use reduction plating technique for nail insertion management tibia fractures.
 Keywords: Distal fracture; open internal fixation; percu...

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...

INTRODUCTION Aging decreases chondrogenesis, bone formation, callus vascularization and remodeling during facture healing in mice, which is associated with reduced cyclooxygenase-2 (COX-2) expression, and is restored by administration of an EP4 agonist. Activation of the EP4 receptor stimulates cAMP and activation of the protein kinase A (PKA) signaling pathway. These findings suggest that enha...

Correspondence to: Mr Robert Din, 11 Southcote Road, Tufnell Park, London N19 5BJ. A 41 year old man presented after a road traffic accident. He was a motorcyclist travelling at 30 mph and was thrown from his motorcycle. Physical examination was unremarkable apart from a painful deformed right lower limb, with neurovascular structures intact. Radiography revealed a midshaft oblique fracture of ...

INTRODUCTION Fractures of the lower extremity are a common type of childhood injury and many can be treated without surgery. Dislocated and open fractures are an indication for fracture stabilization via either intramedullary nailing or, in the case of complicated fractures, external fixation. But if complications are likely because of diseases and disabilities (for example, a neuropathy) that ...

Stress fractures are a frequent cause of lower extremity pain in athletes, and especially in runners. Plain imaging has a low sensitivity. Magnetic resonance imaging (MRI) or bone scan scintigraphy is the criterion standard, but expensive. We present the case of a young female distance runner with left shin pain. Plain radiography was unremarkable. Ultrasound showed focal hyperechoic elevation ...

The prediction of healing period of a tibia fracture in humans across limb using first-order mathematical model is demonstrated. At present, fracture healing is diagnosed using X-rays. Recent studies have demonstrated electric stimulation as a diagnostic tool in fracture healing. A DC electric voltage of 0.7 V was applied across the fracture and stabilized with Teflon coated carbon rings and th...

We would like to highlight unusual sequelae of healed distal third diaphyseal tibia fracture that was treated conservatively 36 years ago, in which we incidentally detected peripheral CT angiography. The anterior tibial artery was enveloped three-quarterly by the healing callus of the bone (distal tibia).