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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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Introduction Distal lower-leg fractures often occur with a tibial fracture in conjunction with a fibular fracture. It is common practice not to fix the fibula in patients presenting tibial shaft fractures. In case of a fracture in the lower
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injuries during the last few decades. The purpose of this article is to describe current concepts of management of intra-articular distal tibial fractures with a special emphasis on the avoidance of complications. Definition According to the AO
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that, with an infection rate of 7.6%, this ‘common fear does not appear to be clinically grounded’, 7 an even more recent paper analysing proximal and distal tibial fractures 8 supports the view that, with an infection rate of 12% in proximal
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Introduction Partial tibial plateau fractures may occur as a consequence of a valgus or varus trauma combined with a rotational and axial compression component. In the following article, we focus mainly on unicompartmental AO type B1-B3
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AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile
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represents the main component of anterior tibial tuberosity fractures, both before and after the ossification centre of the tuberosity fully fuses with the proximal epiphysis. The vascular supply for this epiphyseal anatomical zone is provided by arteries
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Hospital Base de Valdivia, Valdivia, Chile
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Universidad Austral de Chile, Valdivia, Chile
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-plantar flexion; (C) supination-external rotation; (D) pronation-eversion; (E) Salter–Harris III of distal tibial epiphysis; (F) triplane fracture. 31 In triplanar fractures, the fracture line involves the coronal, transverse, and sagittal planes. In
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risk factors for the occurrence of ACS in association with different patterns of tibial fractures (proximal, diaphyseal, and distal). To the authors’ knowledge, this review is the first to specifically focus on clinical and radiological risk factors for
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intramedullary nailing of distal third tibial shaft fractures . Acta Orthop Belg 2011 ; 77 : 802 – 808 . 5. Bedi A Le TT Karunakar MA . Surgical treatment of nonarticular distal tibia fractures . J Am Acad Orthop Surg
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accomplished by narrowing the width of the ankle mortise or osteotomy of the tibial plafond. 12 , 13 Therefore, osteotomies that are performed at the distal tibia may have different effects and results. Degenerated articular cartilage cannot regenerate
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severe soft-tissue injuries, comminution and multiple displaced articular fragments. Conversely, rotational injuries are typically low-energy fractures with less soft-tissue injury and, usually, a distal tibial spiral fracture pattern. In this review, we