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‘principles’ suggesting, for example, that 2 mm displacement of a distal fibula fracture requires surgical reduction and fixation, or that posterior malleolus fractures affecting less than 25% of the tibial plafond can be treated non-operatively. To illustrate
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Frodl A Erdle B & Schmal H . Osteosynthesis or non-operative treatment of the fibula for distal lower-leg fractures with tibial nailing: a systematic review and meta-analysis . EFORT Open Reviews 2021 6 816 – 822 . ( https://doi.org/10
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should be inserted under fluoroscopic guidance, if available. An alternative to using the C-clamp is to place the pins on the greater trochanter. Tibia Most tibial fractures can be stabilized with a unilateral frame in one plane ( Figs 5 and 6
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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mechanical femoral angle aMDFA 6 ± 1° Anatomical lateral distal femoral angle aLDFA 81 ± 2° Mechanical lateral distal femoral angle mLDFA 87 ± 3° Anatomical medial proximal tibial angle aMPTA 87 ± 3° Mechanical medial
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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Classification A trimalleolar ankle fracture typically involves the distal fibula (lateral malleolus), medial and posterior malleolus. The first ankle fracture classification system developed by Percival Pott differentiated between uni-, bi- and trimalleolar
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specifically pertaining to the management of distal syndesmosis injuries in rotationally unstable ankle fractures continues to evolve. This is due to the realization that the rate of syndesmosis malreduction has been unacceptably high in the past. The
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.1 mm. 9 The femoral attachment is 7.4 mm from the trochlear point, 11.0 mm from the medial arch point and 7.9 mm from the distal articular cartilage. 9 The centre of the ALB tibial attachment site is 6.1 mm from posteromedial meniscus root
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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the following derotation osteotomy of the distal tibia. The following case presents a tibial iatrogenic malrotation at six months after index surgery, with a fracture on the lower third of the tibial shaft and an intramedullary (IM) nail fixation
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) In 2019, Aldemir and Duygun reviewed 28 aseptic tibial nonunions without bone defects (15 hypertrophic and 13 atrophic), with an average time from fracture to treatment of 1.6 years. 4 The previous treatments for these fractures had comprised
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clavicle and tibial fractures, but also liver and spleen injuries. 12 This may well reflect the influence of the seatbelt on the distribution of dissipated energy. Motorcycle injuries often result in force being applied downwards on the shoulder and
