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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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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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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
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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of the tibial nerve. Aetiology Compression of the posterior tibial nerve and its branches can be extrinsic, as for example in sequelae of ankle fractures and sprains, foot deformities (flat foot, varus or valgus deformity of the foot
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Wolters Kluwer Health. Conventional medial approach The medial tibial surface can be easily approached after performing a longitudinal skin incision. Although anteromedial partial proximal tibial fractures are rare, 5 this approach may
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work is attributed. References 1. Lang GJ Cohen BE Bosse MJ Kellam JF . Proximal third tibial shaft fractures: should they be nailed? Clin Orthop Relat Res 1995 ; 315 : 64 – 74 . 2
Hospital Militar de Santiago, Santiago, Chile
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Clínica Alemana - Universidad del Desarrollo, Santiago, Chile
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fractures, the fracture line extends into the lateral tibial plateau ( Fig. 1 ). Figure 1 Takeuchi´s Classification. Left: Type I fractures extend throughout the osteotomy line and continue through the lateral cortex proximal or at the same level as
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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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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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should be considered in peri-prosthetic proximal tibial fractures. 32 Other considerations that should be taken into account and subsequently divert management towards plating in peri-prosthetic fractures include a ‘closed box’ femoral implant and
