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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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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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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
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Iliac spongious autograft ( n = 13) and additional cortical,spongious iliac wing autograft ( n = 5) Imam et al. (29) Prospective 16 C3 fractures 11.5 (6–24) Extended anterior approach Proximal tibial plate ( n = 10), distal
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tibial shaft fracture and type II c) (9%) is a fracture of the tibia plateau and articular fracture of the distal femur. 2 Fig. 1 Fraser classification of the floating knee. Initial management The floating knee is much more than a
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India Case series (prospective) 20 No 37.75 Displaced distal tibial metaphyseal fractures (acute fractures and delayed union). Both open and closed fractures were included in the study. Tibial diaphyseal and proximal tibial metaphyseal
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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the first choice in the treatment of complex tibial plateau or distal femoral fractures in elderly osteoporotic patients where articular and metaphyseal destruction makes reconstruction and internal fixation hazardous (Femur: AO/33C3 and selected 33C2
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and occur when the dense talus is axially compressed over the articular surface of the distal tibia. They represent 1% of all lower limb fractures and 5% to 10% of all tibial fractures. 57 The severity of this injury is substantial, reflecting the
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distal tibial fractures present with a significant soft-tissue injury and therefore pose additional complexity when managing the injury. Classification Open tibial injuries present with a spectrum of injury severity ( Fig. 1 ). It soon became
