$distal tibia fibula fracture$

Knee pain after intramedullary tibial nailing: its incidence, etiology, and outcome. Incidence and aetiology of anterior knee pain after intramedullary nailing of the femur and tibia. Katsoulis E, Court-Brown C, Giannoudis PV. Intramedullary nailing for tibial shaft fractures in adults. 2014 9:74.ĭuan X, Al-Qwbani M, Zeng Y, Zhang W, Xiang Z. Meta-analysis of reamed versus unreamed intramedullary nailing for open tibial fractures. Ankle fractures are breaks of the distal tibia or fibula (near or in the so-called malleolus) affecting the. Safe surgical technique: intramedullary nail fixation of tibial shaft fractures. Ankle Fractures (Tibia and Fibula) Description. Effect of minimally invasive percutaneous plates versus interlocking intramedullary nailing in tibial shaft treatment for fractures in adults: a meta-analysis. He GC, Wang HS, Wang QF, Chen ZH, Cai XH. Operative fixation for complex tibial fractures. This guideline covers assessing and managing pelvic fractures, open fractures and severe ankle fractures (known as pilon fractures and intra-articular distal tibia fractures) in pre-hospital settings (including ambulance services), emergency departments and major trauma centres. Impact injuries may result from falling from a height with impaction of the distal tibia and fibula against the talus. Falling, tripping, or sports activities may cause twisting forces through the ankle. Hutchinson AJP, Frampton AE, Bhattacharya R. Ankle fractures can be caused by various modes of trauma, e.g., twisting, impact, and crush injuries. Closed tibial-shaft fractures: which ones benefit from surgical treatment? J Am Acad Orthop Surg. Compartment syndrome of the lower leg and foot. 2007 21(10 Suppl):S1–133.įrink M, Hildebrand F, Krettek C, Brand J, Hankemeier S. Fracture and dislocation classification compendium – 2007: Orthopedic Trauma Association classification, database and outcomes committee. Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, et al. There is no consensus on whether a fibular fracture should be fixed when a concurrent extra-articular distal tibia fracture is managed with intramedullary nails. A new classification of soft-tissue damage in open and closed fractures (author’s transl). Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. All rights reserved.Shuler F, Obremskey WT. For this reason, we recommend fibular fixation in all 42 distal fractures when both fractures lie on the same plane and the tibial fracture is relatively stabilised.ĭistal shaft leg fractures Fibular osteosynthesis Union rate.Ĭopyright © 2013 Elsevier Ltd. You may experience a broken ankle from a twisting injury from a simple misstep or fall, or from direct trauma during a car crash, for example. A broken or fractured ankle is an injury to the bone. This study showed a higher non-union rate when the fracture of the tibia and fibula were at the same level, the tibia was fixed with a bridging plate and the fibula left untouched. Rolling your ankle can cause a break in the knobby bumps at the end of the tibia and fibula. None of the parameters considered (open injury, AO classification, device used and level of the fibular fracture relative to the tibial) were shown to have an influence on the development of a non-union. Other parameters examined were the union rate of the two groups correlated to the fracture pattern and position of the fibular fracture the demographic data, such as age and gender the presence of an open fracture, and the type of tibial fixation device used (nail or plate). The fibular fracture was classified according to the AO and related to the level of the tibial fracture. Patients were divided into two groups according to whether or not the fibula was fixed: Group I (n=26) comprised patients who had their fibula fixed while Group II (n=34) comprised patients who did not.

$distal tibia fibula fracture$

The aim of the current paper is to explain the role of stabilisation of the fibula in 42 AO fractures, correlating the rates of healing and non-union between patients with and without fibula fixation.Ī total of 60 patients with 42 AO (distal) shaft fracture of the tibia with associated fracture of the fibula were selected. Some studies indicate the need for fibular stabilisation in 43 AO fractures, but few studies consider the role of the fibula in 42 AO fractures. Although the stability of the fibula is critical in patients with syndesmotic instability or highly comminuted pilon fractures, fibular fixation in extraarticular distal tibia fractures or elementary intraarticular distal tibia fractures is more controversial. The role of stabilisation of the fibula in distal two-bone fractures of the leg is controversial. The role of fibular fixation in patients with distal tibia fractures is controversial.

$distal tibia fibula fracture$

Distal tibia fibula fracture