Definitive treatment of open fractures of the tibial diaphysis is challenging. The high-energy nature of these fractures, as well as the contamination of the fracture site and devitalization of the soft-tissue envelope, greatly increases the risk of infection, nonunion, and wound complications. The goals of definitive treatment include wound coverage or closure; prevention of infection; restora...

INTRODUCTION Open fractures of the tibia pose a challenge to orthopaedic and plastic surgeons. A retrospective observational review was conducted to evaluate the epidemiological factors and fracture outcomes in the Singapore context. METHODS A nine-year period of open tibial shaft fractures presenting to our institution was reviewed. Demographic and management data were recorded. Statistical ...

BACKGROUND Footballers constitute a unique group of patients with tibial shaft fractures. They tend to have excellent general health and well developed musculature in the leg, and their fractures are generally closed injuries caused by low velocity trauma. However, little has been reported on the outcome after tibial shaft fractures in this group. OBJECTIVE To identify patterns of injury, res...

BACKGROUND Type III open tibia fractures are common combat injuries. The purpose of the study was to evaluate the effect of injury characteristics and surveillance cultures on outcomes in combat-related severe open tibia fractures. METHODS We conducted a retrospective study of all combat-related open Gustilo and Anderson (G/A) type III diaphyseal tibia fractures treated at our centers between...

This article describes a novel, clinically oriented classification system for long-bone fractures that is simple, reliable, and useful to predict treatment method, complications, and outcome. The reliability and memorability of the new classification were statistically tested and compared with the AO-Müller/Orthopaedic Trauma Association (AO/OTA) long-bone fracture classification. The proposed ...

Sarmiento introduced the functional fracture brace for the management of tibial shaft fracture in 1963. However, tibial angulation with varus deformity cannot be prevented or corrected by such a device. In this paper, a case of tibial shaft fracture with varus angulation treated with a modified below-knee fracture brace was reported.

background femur fracture is one of the most common fractures in children. certain parameters such as the patient’s age, the exact location of fracture, type of fracture, the mechanism of fracture, and the accompanying injuries determine which one of the many treatment techniques be used in each case. objectives we aimed to compare the results of close and open techniques in pediatric femoral s...

Purpose: Controversies exists between primary nailing and external fixator application as treatment of choice for severely open fractures. This study was conducted to assess the outcome of Intramedullary nailing in compound tibia fracture and evaluate its complication Methods: Between 2006 and 2011 a total of 40 cases of open tibial shaft fractures classified according to Gustillo and Anderson ...

Treatment of Displaced diaphyseal femoral shaft fracture in children between 3 to 13 years is controversial. Various methods are available for treatment. Titanium elastic nailing is one of the methods for treatment of femur shaft fracture in children. In our study we have assessed the outcome of titanium elastic nailing for fracture shaft femur in children. We have found that titanium elastic n...