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Tibial Fractures (0):
Recent article
Tibial Fractures
Ugeskrift for laeger (172)50 2010
Abstract
Up to 3% of adults walk in their sleep and some perform complex behaviours. Treatment recommendations for sleepwalking are inconsistent. This case report describes a 64-year-old man who climbed out of a 2nd floor toilet window during somnambulism. He fell 6-8 meters and fractured the tibia, fibula,...
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PMID: 21156113
PDF is available here.
PDF is available here.
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Abstract
We investigated the effect of melatonin on fracture healing in the rat tibia model by using biochemical and histopathologic methods.
In this study 80 male Sprague-Dawley rats were randomized into two groups, a control group (Group 1) and melatonin group (Group 2) with eight rats per group according...
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PMID: 21067500
PDF is available here.
PDF is available here.
Journal of Trauma (69)6 2010
Abstract
Tibial plateau fractures with associated compartment syndrome are severe injuries with elevated infection rates. The objective of this article was to analyze whether there is an association between infection and the timing of definitive fracture fixation in relation to fasciotomy closure or coverage...
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PMID: 20495494
PDF is available here.
PDF is available here.
Journal of Trauma (69)6 2010
Abstract
Tourniquet use in orthopedics is practiced for the sake of the surgeon's comfort with a bloodless field, though it is associated with potential risks. This study was performed to assess the effects of using or avoiding a tourniquet when plating acute extra-articular tibial fractures.
One hundred thi...
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PMID: 20571455
PDF is available here.
PDF is available here.
Abstract
Choosing the appropriate treatment for grade IIIB and IIIC open tibial fractures is a difficult decision for both the patient and the physician. Current research shows that the functional outcomes for reconstruction are similar to those for below-knee amputation, but little investigation of the qual...
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PMID: 20697318
PDF is available here.
PDF is available here.
Abstract
Abstract
We conclude that these injuries can be safely managed by closed reduction and cast immobilization in a position of full knee extension....
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PMID: 20613641
PDF is available here.
PDF is available here.
Abstract
Some tibial fractures in children require surgical osteosynthesis, mostly achieved by an internal fixation. Indications for external fixation in the management of tibial fractures in children are limited to specific clinical situations when conventional treatments are contraindicated. The aim of thi...
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PMID: 20697296
PDF is available here.
PDF is available here.
Abstract
Abstract
We conducted a prospective 6-month audit of open tibial diaphyseal fracture management in five plastic surgery units (Bristol, Exeter, Plymouth, Salisbury, Swansea) with a collective catchment of 9.2 million people. Detailed data were collected on patient demographics, injury pattern, surgical manag...
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PMID: 21047449
PDF is available here.
PDF is available here.
Abstract
We performed a cadaveric and radiographic study utilizing 16 limbs. We performed a retropatellar approach via longitudinal quadriceps split, passed a specialized trocar through the patellofemoral joint and onto the superior aspect of the tibia, and inserted Kirschner wires into the anatomic safe zon...
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PMID: 20926965
PDF is available here.
PDF is available here.
Abstract
To define spatial relationships between major intra-articular structures of the knee and the entry site of a tibial nail inserted using a retropatellar portal.
Cadaveric study using 16 fresh-frozen limbs.
University-affiliated cadaver and anatomy laboratory.
The mean distance of the nail entry site...
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PMID: 20926963
PDF is available here.
PDF is available here.
Abstract
1) To introduce a computed tomography-based "three-column fixation" concept; and 2) to evaluate clinical outcomes (by using a column-specific fixation technique) for complex tibial plateau fractures (Schatzker classification Types V and VI).
Prospective cohort study.
Level 1 trauma center.
Twenty-ni...
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PMID: 20881634
PDF is available here.
PDF is available here.
Abstract
We present a nailing technique that facilitates extra-articular semiextended tibial nailing. The technique simplifies intraoperative imaging, fracture reduction, and maintenance of reduction during nail insertion and locking....
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PMID: 20881632
PDF is available here.
PDF is available here.
Abstract
We do not believe that the SP entry portal poses a significant risk to the viability or structural integrity of the articular cartilage of the patellofemoral joint. Clinical correlation is needed....
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PMID: 20926959
PDF is available here.
PDF is available here.
Abstract
We identified 67 extremities requiring a coverage procedure out of 213 consecutive combat-related Type III open diaphyseal tibia fractures.
The 67 Type III B tibia fractures were treated with rotational or free flap coverage.
Flap failure, reoperation, infection, amputation, time to union, and visua...
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PMID: 20926962
PDF is available here.
PDF is available here.
Abstract
Extruded bone is a rare complication of open fractures associated with high energy. We describe a case of bony extrusion involving an osteoarticular segment of distal tibial treated with reimplantation and internal fixation with 18-month follow-up.
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PMID: 20926964
PDF is available here.
PDF is available here.
Abstract
We describe an alternate way of treating soft tissue problems which occur at the lower third of the leg while being treated on an Ilizarov frame. We describe the surgical procedure followed in raising the flap and its anterior transposition within the Ilizarov frame in two patients....
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PMID: 21138227
PDF is available here.
PDF is available here.
Abstract
We obtained good results in 13 out of 14 cases. Good results can be obtained when type I fractures are treated nonoperatively. Type II and type III lesions showed better results after arthroscopic reduction and internal fixation. Nonabsorbable suture fixation for osteosynthesis is recommended. The p...
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PMID: 20473183
PDF is available here.
PDF is available here.
Orthopedics (33)9 2010
Abstract
Abstract
We treated two patients with stress fractures of the proximal tibial diaphyses over a period of two years. Both patients had osteoarthritis of the knee; one with genu valgus deformity and the other, genu varus deformity. The former patient also had a distal tibial fracture and had previously undergo...
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PMID: 20938599
PDF is available here.
PDF is available here.
Abstract
The pattern of fracture, including the anatomical location and age distribution, may differ among urban and rural populations due to various factors such as the inhabitants' occupation and living environment.
This was a retrospective multicentre study involving two urban and three rural hospitals in...
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PMID: 20938610
PDF is available here.
PDF is available here.
Abstract
It has been previously shown that in patients with osteoporosis, mesenchymal stem cell (MSC) growth rate and osteogenic potential is decreased contributing to inferior fracture consolidation. The aim of this study was to investigate the effect of bone morphogenetic protein-2 (BMP-2), BMP-7, parathyr...
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PMID: 20736793
PDF is available here.
PDF is available here.
Journal of wound care (19)8 2010
Abstract
Raoultella planticola has been rarely diagnosed in clinical specimens. A case of a polymicrobial surgical site infection primarily caused by R. planticola in a 66-year-old Caucasian male with a fractured left tibia after an open reduction internal fixation of his left ankle is described and confirms...
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PMID: 20852504
PDF is available here.
PDF is available here.
Archives de Pédiatrie (17)8 2010
Abstract
Abstract
To evaluate the interface characteristics of the new-designed locking plate (LP) and limited contact-dynamic compression plate (LC-DCP) and compare the fracture healing between LP and LC-DCP in a goat tibia fracture model.
Eight-hole LP and LC-DCP were applied to fix fresh goat tibiae in a reproduci...
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PMID: 20670582
PDF is available here.
PDF is available here.
Abstract
We report a case of spontaneous intrauterine fracture of the right tibia and fibula in an otherwise healthy fetus at 20 weeks of gestation. The fracture healed in utero in an abnormal position. Postnatal development of the baby was normal with spontaneous correction of the angulation, and no underly...
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PMID: 20389052
PDF is available here.
PDF is available here.
Journal of Trauma (69)1 2010
Abstract
The posteromedial fragment tolerated higher loads with the CP + 1/3 tubular plate construct. The superiority of this construct may be caused by unreliable penetration of this fragment by the lateral locking screws....
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PMID: 20622588
PDF is available here.
PDF is available here.
Journal of Trauma (69 Suppl 1)supplement 2010
Abstract
Treatment of combat-related open tibia fractures with external fixation was 77% successful in our series. We recorded no major complications but demonstrated the possibility for technical improvement in one of the five constructs with potential complications. Despite the recorded potential and minor...
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PMID: 20622607
PDF is available here.
PDF is available here.
Indian Pediatrics (47)7 2010
Abstract
Abstract
An experimental rat model was used to test the hypothesis that in osteoporosis (OP) the molecular composition of the extracellular matrix in the fracture callus is disturbed. OP was induced at 10 weeks of age by ovariectomy and a vitamin D(3)-deficient diet, and sham-operated animals fed normal diet...
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PMID: 20495792
PDF is available here.
PDF is available here.
Abstract
Despite modern surgical techniques and advanced antimicrobial therapy, open lower-extremity fracture management and osteomyelitis remain a challenge for reconstructive surgeons. Posttraumatic composite bone and soft tissue defects are usually the result of high-energy trauma and are often associated...
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PMID: 20691377
PDF is available here.
PDF is available here.
New Zealand Medical Journal (123)1316 2010
Abstract
Snowboarding related lower limb fractures are more likely to involve the ankle and be left sided. Skiing related lower limb fractures are more proximal with no laterality....
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PMID: 20648096
PDF is available here.
PDF is available here.
Medical Image Analysis (14)3 2010
Abstract
We develop a method for the assessment of specific anatomical/morphological criteria across the shape variability found in a population. The method is based on a level set segmentation approach, and used on the parametric space of the statistical shape model of the target population, solved via a mu...
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PMID: 20359938
PDF is available here.
PDF is available here.
Abstract
We present a case of a stress tibial fracture that occurred after a TKA performed with the use of a computer navigation system. The stress fracture, which eventually healed without further complications, occurred at one of the pinhole sites used for the placement of the tibial trackers....
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PMID: 20505974
PDF is available here.
PDF is available here.
Abstract
The ETN provides sufficient stability of diaphyseal tibial fractures including those involving the metaphysis. However, in some instances, poler screws are still indispensable. Sufficient reduction is necessary before nail insertion....
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PMID: 20619116
PDF is available here.
PDF is available here.
Abstract
We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were noted to assume aberrant healing processes, the majority of involved bony structures were devoid of...
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PMID: 20004631
PDF is available here.
PDF is available here.
Journal of Trauma (68)6 2010
Abstract
Compared with current data in literature, we had a satisfactory outcome in following individualized treatment of periprosthetic fractures after knee joint replacement. Referring to the wide field of treatment options and high rates of complications, periprosthetic femoral fractures around the knee c...
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PMID: 20539190
PDF is available here.
PDF is available here.
Abstract
The importance of dynamisation after static locked nailing in comminuted closed tibial fractures is a matter of contention. A prospective study was undertaken among 178 patients in the department of orthopaedics at RG Kar Medical College, Kolkata from January 2002 to December 2006, to analyse the us...
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PMID: 21121386
PDF is available here.
PDF is available here.
Abstract
We report an unusual case of pilon fracture in an adult, which was complicated by development of compartment syndrome. It was successfully treated with four-compartment leg fasciotomy with good results. A high index of suspicion for compartment syndrome should be maintained in patients with intracta...
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PMID: 20502205
PDF is available here.
PDF is available here.
Abstract
Difficulty with removal due to cold welding or screw head stripping is common in locking LISS plate screws. LISS plate removal can often require prolonged operating time and the use of specialized removal tools. Surgeons should anticipate the possibility of difficulties when removing these implants...
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PMID: 20502220
PDF is available here.
PDF is available here.
Abstract
We present a case report of two patients who sustained diaphyseal tibial fractures, were treated with IMN fixation, and subsequently developed lateral and posterolateral knee pain secondary to interlocking screw penetration into the proximal tibiofibular joint (PTFJ). We performed a retrospective ra...
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PMID: 20502206
PDF is available here.
PDF is available here.
Abstract
[Percutaneous locking plate combined with Sizhi-Xifang for treatment of the distal tibial fracture].
Abstract
There were no incision infections, flaps necrosis, bone and plate exposure after treatment in two groups. All patients were followed-up for 4 to 16 months with an average of 8.6 months. According to Johner-Wruhs evaluation standard, there were 7 cases in excellent, 12 good, 5 in fair in treatment gr...
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PMID: 20575304
PDF is available here.
PDF is available here.
Abstract
We reported a healthy, active 15-year-old boy who suffered from left tibial tubercle avulsion fracture during a basketball game. He received open reduction and internal fixation with two smooth Kirschner wires and a cannulated screw, with every effort to reduce the plate injury. Long-leg splint was...
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PMID: 20093955
PDF is available here.
PDF is available here.
Abstract
A ring fixator was used in the treatment of five patients (ages 11 to 16 years) with proximal tibial growth arrest after trauma. The mean corrections were 14.2 degrees (maximum 28 degrees , minimum 0 degrees ) in the saggital plane and 14 degrees (maximum 38 degrees , minimum 2 degrees ) in the coro...
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PMID: 20090560
PDF is available here.
PDF is available here.
Orthopedics (33)5 2010
Abstract
Despite improvements in surgical techniques and implant designs in orthopedic surgery, implantation-associated infections are still a challenging problem for surgeons. The goal of this study was to evaluate the efficacy of a norvancomycin-loaded, PDLLA-coated stainless steel plate vs an uncoated sta...
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PMID: 20506956
PDF is available here.
PDF is available here.
Abstract
Abstract
In this series, complications were associated with delayed involvement of plastic surgeons. Retrospective analysis has shown a decreased incidence of open tibial fractures which is reported in similar studies. Gustilo grade was found to correlate with length of hospital admission and plastic surgery...
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PMID: 20501017
PDF is available here.
PDF is available here.
Medical Science Monitor (16)5 2010
Abstract
The peak frequency of tibial shaft fractures in Iran was one decade higher than in European populations and in those > or =50 years old the rate was higher in women, which was two decades lower than the mentioned populations. Furthermore, in this study in addition to high-energy trauma, low-energy t...
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PMID: 20424548
PDF is available here.
PDF is available here.
Abstract
The DLS reduced the axial stiffness by approximately 16% while increasing the interfragmentary motion at the near cortical side significantly from 282 microm (LS) to 423 microm (DLS) applying an axial load of 150 N. CONCLUSION: The use of DLS reduces the stiffness of the plate-screw interface and th...
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PMID: 20358382
PDF is available here.
PDF is available here.
Abstract
We have compared muFEA based on in vivo HR-pQCT measurements of BMD and microarchitecture at the radius and tibia, in a case-control study involving 101 women with prevalent fragility fracture and 101 age-matched controls, from the OFELY cohort. Areal BMD was measured by DXA at the radius and the hi...
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PMID: 20044044
PDF is available here.
PDF is available here.
Abstract
We conducted a retrospective study of 75 patients in whom 82 femoral shaft fractures were treated with retrograde intramedullary nailing. Complaints of pain about the knee during follow-up were present in 17 patients (23%). The mean age of patients with knee pain was significantly lower (26 years) t...
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PMID: 20503948
PDF is available here.
PDF is available here.
Abstract
We report the successful use of intravenous pamidronate therapy in diminishing pain, improving function, and restoring bone mass in an 11-year-old girl with CRPS of her left lower limb following a tibial fracture. Previous treatment with intense physiotherapy and regional sympathetic blockade had no...
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PMID: 19969114
PDF is available here.
PDF is available here.
Abstract
Repeated soft tissue injuries around the knee represent challenging clinical situations where functional prognosis of the joint is often poor, especially in the presence of total knee arthroplasty (TKA). When gastrocnemius muscle flap techniques have already been used and failed, therapeutic solutio...
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PMID: 20417917
PDF is available here.
PDF is available here.
Abstract
We report a technique without microsurgery, using Masquelet's induced membrane technique to manage the bone loss, associated to bone transport and coverage by a fasciocutaneous flap with distal pedicle. In a patient presenting with a 10 cm defect with bone exposure, this 2-step procedure allowed con...
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PMID: 20417920
PDF is available here.
PDF is available here.
Archives de Pédiatrie (17)4 2010
[Avulsion fracture of the posterior cruciate ligament in a child: surgical treatment. a case report]
Abstract
We report a case of avulsion fracture of the PCL treated with a standard Twinfix surgical anchor.
Copyright 2010 Elsevier Masson SAS. All rights reserved....
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PMID: 20219334
PDF is available here.
PDF is available here.
Journal of Trauma (68)4 2010
Abstract
A medial parapatellar approach for tibial nail insertion mainly caused valgus and anterior bow misalignment and ventral and medial fragment displacement. Mean misalignment and fragment displacement did not exceed 0.5 degree if the osteotomy was performed 8 cm to 9 cm below the tibial tuberosity. DIS...
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PMID: 19826312
PDF is available here.
PDF is available here.
Journal of Trauma (68)4 2010
Abstract
This technique has been performed since July 2006 on eight patients. One patient died of an unrelated cause 3 months after surgery and one patient failed to attend follow-up clinic. Clinical and radiologic follow-up was performed on the remaining six patients at an average 15 months (range, 12-19) a...
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PMID: 20386289
PDF is available here.
PDF is available here.
Abstract
Single-subject analysis revealed that 4 of the 5 subjects had significant reductions in their peak positive acceleration at the end of the no-feedback period compared to the warm-up. In addition, all of the subjects had significant decreases in impact peak and vertical ground reaction force loading...
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PMID: 20357417
PDF is available here.
PDF is available here.