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, 27 , 28 , 40 , 41 , 42 , 43 ). The association between tibial pilon fractures and ACS is less obvious with reported occurrence rates under 5% ( 24 , 28 , 35 , 40 , 44 ). As ACS is not rare in the setting of a tibial fracture, and as any
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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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and approximately 3% of all proximal tibial fractures. 9 This type of fracture is more frequent in male adolescents. 9 The Osgood-Schlatter lesion has been described as a predisposing factor for avulsive fractures of the tuberosity, and has
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, popliteal artery lesions and open fractures are to be treated first and femoral and tibial fractures should be temporary stabilised by external fixation or traction. Immediate definitive reduction and fixation is reserved for hemodynamically stable patients
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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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Epidemiology Open fractures of the tibia are the most common open long bone fractures, with an annual incidence of 3.4 per 100 000. 1 , 2 The mean age of those who sustain open tibial fractures is 43.3 years, most frequently occurring in
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number of blocking screws is often difficult and confusing, with at least four ‘rules’ described in the literature. 13 – 16 Fig. 1 shows fluoroscopic images of the placement of poller screws in a diaphyseal tibial fracture. Fig. 2 details
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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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the database search. The inclusion criteria were any ambulatory patient(s) sustaining a diaphyseal tibial fracture, either as an isolated injury or in the setting of polytrauma, who underwent antegrade IMN of the tibial shaft and had reported outcome
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usefully employed by bone healing scores in recent fractures, such as the RUST (Radiographic Union Scale for Tibial fractures) 19 or the RUSH (RUS for Hip fractures). 20 Yet some differences are encountered in the non-union healing evaluation. Re
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-mineralised tibial head, fractures of the medial compartment appeared more often in multi-part tibial-head dislocation-type injuries. 1 , 9 Iatrogenic partial tibial fractures have been reported in a few cases after ligament reconstruction surgery and high
