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...

INTRODUCTION: The orthopaedic community has become increasingly cognizant of the disparity that exists in healthcare throughout the developing world. Annually, there are nearly five million deaths worldwide due to traumatic injuries; a number approximating that of HIV/AIDS, malaria and tuberculosis combined. Motor vehicle trauma accounts for a large proportion of these deaths, and for every dea...

abstract  background: reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non::::union::::. the purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non::::union::::.  methods: twenty-nine patients with non::::union:::: after initial therapy for tibial fracture  were retrospectively ass...

Background: To assess the efficacy of flexible intramedullary Enders nails(EN) for the treatment of femoral and tibial diaphyseal fractures in children. Methods: In this descriptive study, thirty patients treated with EN, for femoral and tibial shaft fractures were included. Hole was drilled on medial and lateral sides of bone and passage was created by bone awl. EN, attached to the T-handle, ...

The risk of articular penetration during tibial nailing is well known, but the incidence of unrecognised damage to joint cartilage has not been described. We have identified this complication in the treatment of tibial fractures, described the anatomical structures at risk and examined the most appropriate site of entry for tibial nailing in relation to the shape of the bone, the design of the ...