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Introduction Fractures of the tibial shaft represent 2% of all fractures and 37% of all long bone fractures in adults, at an incidence of 17–21 per 100,000 population ( 1 , 2 ). Due to the limited soft tissue coverage specific to the tibial
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occurrence in tibial plateau fractures reaches 12% and even 53% in higher-energy patterns ( 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ). In tibial shaft fractures, ACS occurrence reaches 11.5% ( 10
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Tibial plateau fractures (TPFs) are common and difficult-to-manage injuries that can be due to high- or low-energy trauma and can affect young adults or third-age patients. When faced with one of these injuries there are some questions to be
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therefore severity. Table 3. Recent studies on the clinical outcomes of Gustilo type III tibial shaft fractures Study n IM nail Union time (weeks) Infection (n (%)) Malunion (n (%)) Re-operation Naique 2006 48 26
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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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Cruz AI Jr . Increasing rates of surgical treatment for paediatric tibial shaft fractures: a national database study from between 2000 and 2012 . J Child Orthop 2019 ; 13 : 213 – 219 . 31. Stenroos A Laaksonen T
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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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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
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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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weight-bearing X-rays, eventually causing imprecision in operative planning. 1 , 2 When standard weight-bearing X-rays are used to calculate alignment, the estimated angle on the X-ray is called the anatomic tibiofemoral angle or femoral-shaft–tibial-shaft