the management of soft tissue defects in tibial fractures is essential for limb preservation. current techniques are not without complications and may lead to poor functional outcomes. a salvage method is described using three illustrative cases whereby a combination of flaps and antibiotic-impregnated polymethylmethacrylate beads are employed to fill the bony defect, fight the infection, and p...

conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

A displaced tibial tuberosity avulsion fracture associated with an open extra-articular proximal tibial diaphyseal fracture is an uncommon fracture pattern. This case report describes the successful management of such a fracture pattern in a 45-year old male using an open reduction and lag screw fixation of the tuberosity with a minimally invasive reduction and plate fixation of the proximal ti...

Background and objective: Open tibial fracture with or without bone loss in gustilo Anderson type IIIA and IIIB has been a challenge for most orthopaedic surgeons. Open tibial fracture is more prone for infection, non union and longer morbidity. In this study, we have evaluated the results of 34 patients with open tibial fracture GA type IIIA and IIIB by Ilizarov method in retrospective manner....

BACKGROUND Open fractures of tibia have posed great difficulty in managing both the soft tissue and the skeletal components of the injured limb. Gustilo Anderson III B open tibial fractures are more difficult to manage than I, II, and III A fractures. Stable skeletal fixation with immediate soft tissue cover has been the key to the successful outcome in treating open tibial fractures, in partic...

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...

UNLABELLED Avulsion of the tibial tuberosity is uncommon. It is usually an athletic injury, accounting for less than 3% of all epiphyseal injuries. We report the case of an avulsion fracture of the tibial tuberosity with unusual articular involvement of the lateral tibial plateau treated with open reduction and internal fixation using cancellous screws. The result was excellent, with complete u...

OBJECTIVE Investigate whether intervention with GH after tibial fracture enhances fracture healing. DESIGN Randomised, double-blind, placebo-controlled study in 406 patients (93 women, 313 men, age: 18-64 years) with tibial fracture. METHODS Patients were stratified by tibial fracture (open or closed) and allocated to placebo or GH treatment (15, 30 or 60 mug/kg daily, until clinically asse...