We reviewed 27 diabetic patients who sustained a tibial fracture treated with a reamed intramedullary nail and compared them with a control group who did not have diabetes. There were 23 closed fractures and four were open. Union was delayed until after six months in 12 of the 23 (52%) diabetic patients with closed fractures and ten of the 23 (43%) control patients (p = 0.768). In two patients ...

The management of the acute tibial fracture is controversial, since no single method is appropriate in all circumstances and treatment indications often overlap. Given the potential problems in the management of this often difficult fracture, it is important that the attending clinician be familiar with both operative and conservative methods of treatment. In recent years, operative interventio...

conclusions our results in terms of asami scores are comparable with the published literature. furthermore, our return to work is better than most european studies (63%). all our patients said they would have the procedure again. we attribute this success partly to the multidisciplinary approach. we recommend early referral to a dedicated unit if there is any evidence of a non-::union::. result...

AIM To measure single baseline deep posterior compartment pressure in tibial fracture complicated by acute compartment syndrome (ACS) and to correlate it with functional outcome. METHODS Thirty-two tibial fractures with ACS were evaluated clinically and the deep posterior compartment pressure was measured. Urgent fasciotomy was needed in 30 patients. Definite surgical fixation was performed e...

The contribution of prolonged motoneuron axotomy to the poor functional recovery after delayed nerve repair was determined by means of a nerve cross-anastomosis paradigm in the rat. The tibial nerve was axotomized up to 12 months before it was cross-sutured to the distal stump of the freshly cut common peroneal nerve to innervate the freshly denervated tibialis anterior muscle. Three to 17 mont...

Numerous factors can affect skeletal regeneration, including the extent of bone injury, mechanical loading, inflammation and exogenous molecules. Bisphosphonates are anticatabolic agents that have been widely used to treat a variety of metabolic bone diseases. Zoledronate (ZA), a nitrogen-containing bisphosphonate (N-BP), is the most potent bisphosphonate among the clinically approved bisphosph...

BACKGROUND Many osteotomy methods and fixation types have been used to correct the misalignment observed in tibia vara and to achieve a more uniform distribution of weight across the knee joint. PURPOSE The aim of this study is to test the efficacy and safety of a modified closing wedge high tibial osteotomy (CWHTO) procedure for tibia vara. METHODS In this prospective study, young adults w...

PURPOSE To evaluate the efficacy of intramedullary Kirschner wires for the treatment of unstable tibial shaft fractures in children. METHODS This prospective study was conducted at the Department of Orthopaedic Surgery in Maharishi Markandeshwar Medical College from June 2005 to June 2010. Sixty-six children having closed fracture of the tibial shaft with a mean age of 7.7 years (range, 2-14 ...

22 Even though interlimb coordination is critical in bipedal locomotion, the role of muscle 23 afferent mediated feedback is unknown. The aim of this study was to establish if ipsilateral 24 muscle generated afferent feedback can influence contralateral muscle activation patterns in 25 the human lower limb and to elucidate the mechanisms involved. 26 The effect of ipsilateral tibial nerve stimu...

OBJECTIVE To compare the results and complications of the various modalities for treating closed fractures of the tibial shaft described in the prospective literature. DATA SOURCES A MEDLINE search of the English language literature from 1966 to 1999 was conducted using the MeSH heading "tibial fractures." Studies pertaining to the management of closed tibial shaft fractures were reviewed, an...