The timing of flap coverage, bone-grafting, and intramedullary nailing in patients who have a fracture of the tibial shaft with extensive soft-tissue injury.

1991 ◽  
Vol 73 (9) ◽  
pp. 1316-1322 ◽  
Author(s):  
M D Fischer ◽  
R B Gustilo ◽  
T F Varecka
Keyword(s):  
Soft Tissue ◽  
Intramedullary Nailing ◽  
Bone Grafting ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Tibial Shaft ◽  
Flap Coverage

scholarly journals Joshi’s external stabilization system in the management of distal tibial and fibular fractures with associated soft tissue injury in children

2016 ◽  
Vol 2 (4) ◽  
pp. 323
Author(s):  
Shivanand C. Mayi ◽  
Sachin Shah ◽  
Sadashiv R. Jidgekar ◽  
Arunkumar Kulkarni
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Wound Care ◽  
Soft Tissue Injury ◽  
Limb Length Discrepancy ◽  
Minimal Invasive ◽  
Stabilization System ◽  
Tibial Shaft ◽  
Fracture Stabilization ◽  
External Stabilization

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Injuries around ankle and distal third of tibial shaft are among common paediatric bone trauma.  Some of these cases are associated with soft tissue injury over the lower third of leg or around the ankle joint as tibia is subcutaneous on the anteromedial aspect. This study was conducted to know the outcome of these injuries with minimal invasive external fixation.</span></p><p class="abstract"><strong>Methods:</strong> Eleven patients in the age group of 4-14 years were included in this study. All patients had closed fracture of distal third tibial shaft or injury of distal tibial physis with associated soft tissue injury. Joshi’s external stabilization system was used to retain the reduction of fracture and appropriate wound care was taken. JESS was removed after radiological signs of fracture union.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Patients were followed up for mean period of 8.9 month. After JESS fixation healing of wound occurred at an average of 12.45 day and external fixator was removed at 6-8 weeks period. Three patients had grade 1 pin tract infection which was controlled by local dressing. No patient had stiffness of ankle at the time of JESS removal.  No limb length discrepancy was seen in any of the patients in this study at their final follow up. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">JESS gives good results in fractures of distal tibial with associated soft tissue injury. It helps in better management of wound and fracture stabilization.</span></p><p> </p>

scholarly journals The effect of muscle contusion on cortical bone and muscle perfusion following reamed, intramedullary nailing: a novel canine tibia fracture model

2021 ◽  
Author(s):  
Henry Koo ◽  
Thomas Hupel ◽  
Rad Zdero ◽  
Alexei Tov ◽  
Emil H. Schemitsch
Keyword(s):  
Soft Tissue ◽  
Cortical Bone ◽  
Intramedullary Nailing ◽  
Soft Tissues ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Fixation Method ◽  
Doppler Flowmetry ◽  
Muscle Perfusion ◽  
Soft Tissue Envelope

Background Management of tibial fractures associated with soft tissue injury remains controversial. Previous studies have assessed perfusion of the fractured tibia and surrounding soft tissues in the setting of a normal soft tissue envelope. The purpose of this study was to determine the effects of muscle contusion on blood flow to the tibial cortex and muscle during reamed, intramedullary nailing of a tibial fracture. Methods Eleven adult canines were distributed into two groups, Contusion or No-Contusion. The left tibia of each canine underwent segmental osteotomy followed by limited reaming and locked intramedullary nailing. Six of the 11 canines had the anterior muscle compartment contused in a standardized fashion. Laser doppler flowmetry was used to measure cortical bone and muscle perfusion during the index procedure and at 11 weeks post-operatively. Results Following a standardized contusion, muscle perfusion in the Contusion group was higher compared to the No-Contusion group at post-osteotomy and post-reaming (p < 0.05). Bone perfusion decreased to a larger extent in the Contusion group compared to the No-Contusion group following osteotomy (p < 0.05), and the difference in bone perfusion between the two groups remained significant throughout the entire procedure (p < 0.05). At 11 weeks, muscle perfusion was similar in both groups (p > 0.05). There was a sustained decrease in overall bone perfusion in the Contusion group at 11 weeks, compared to the No-Contusion group (p < 0.05). Conclusions Injury to the soft tissue envelope may have some deleterious effects on intraosseous circulation. This could have some influence on the fixation method for tibia fractures linked with significant soft tissue injury.

scholarly journals The effect of muscle contusion on cortical bone and muscle perfusion following reamed, intramedullary nailing: a novel canine tibia fracture model

2021 ◽  
Author(s):  
Henry Koo ◽  
Thomas Hupel ◽  
Rad Zdero ◽  
Alexei Tov ◽  
Emil H. Schemitsch
Keyword(s):  
Soft Tissue ◽  
Cortical Bone ◽  
Intramedullary Nailing ◽  
Soft Tissues ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Fixation Method ◽  
Doppler Flowmetry ◽  
Muscle Perfusion ◽  
Soft Tissue Envelope

Background Management of tibial fractures associated with soft tissue injury remains controversial. Previous studies have assessed perfusion of the fractured tibia and surrounding soft tissues in the setting of a normal soft tissue envelope. The purpose of this study was to determine the effects of muscle contusion on blood flow to the tibial cortex and muscle during reamed, intramedullary nailing of a tibial fracture. Methods Eleven adult canines were distributed into two groups, Contusion or No-Contusion. The left tibia of each canine underwent segmental osteotomy followed by limited reaming and locked intramedullary nailing. Six of the 11 canines had the anterior muscle compartment contused in a standardized fashion. Laser doppler flowmetry was used to measure cortical bone and muscle perfusion during the index procedure and at 11 weeks post-operatively. Results Following a standardized contusion, muscle perfusion in the Contusion group was higher compared to the No-Contusion group at post-osteotomy and post-reaming (p < 0.05). Bone perfusion decreased to a larger extent in the Contusion group compared to the No-Contusion group following osteotomy (p < 0.05), and the difference in bone perfusion between the two groups remained significant throughout the entire procedure (p < 0.05). At 11 weeks, muscle perfusion was similar in both groups (p > 0.05). There was a sustained decrease in overall bone perfusion in the Contusion group at 11 weeks, compared to the No-Contusion group (p < 0.05). Conclusions Injury to the soft tissue envelope may have some deleterious effects on intraosseous circulation. This could have some influence on the fixation method for tibia fractures linked with significant soft tissue injury.

Auto seat restraint soft-tissue injury

1987 ◽  
Vol 148 (2) ◽  
pp. 458-458 ◽  
Author(s):  
DR Pennes ◽  
WA Phillips
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury
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