scholarly journals Treatment of Non-Union after Tibial Shaft Fracture with a Full Cortical Thickness Inlay Bone Graft

1992 ◽  
Vol 97 (2) ◽  
pp. 169-176
Author(s):  
G. Hansson ◽  
R. Jerre ◽  
G. Markhede ◽  
G. B. J. Andersson
Keyword(s):  
Bone Graft ◽  
Cortical Thickness ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

scholarly journals Delayed Tibial Shaft Fracture Healing Associated with Smoking: A Systematic Review and Meta-Analysis of Observational Studies Conducted Worldwide

2021 ◽  
Vol 18 (19) ◽  
pp. 10228
Author(s):  
Akanksha Mahajan ◽  
Narinder Kumar ◽  
Bhawna Gupta
Keyword(s):  
Systematic Review ◽  
Fracture Healing ◽  
Observational Studies ◽  
Meta Analysis ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Cochrane Library ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

Tibial fractures represent a great burden of disease globally, being the most common long-bone fracture; smoking is a known risk factor for delayed skeletal healing and post-fracture complications. This systematic review and meta-analysis aims to analyse the effect of smoking on healing of tibial shaft fractures. PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched from inception to March 2021, with no limitation on language, to find relevant research. All observational studies that assessed the association between cigarette smoking and tibial shaft fracture healing in adults (≥18 years) were included. The quality of studies was evaluated using the Newcastle Ottawa Quality Assessment Scale. A random effects model was used to conduct meta-analysis. Tobacco smoking was associated with an increased rate of non-union and delayed union as well as an increase in time to union in fractures of the tibial shaft. Among the 12 included studies, eight reported an increased rate of non-union, three reported delayed union, and five reported an increase in time to union. However, the results were statistically significant in only three studies for non-union, one for delayed union, and two studies for increased time to union. This review confirms the detrimental impact of smoking on tibial shaft fracture healing and highlights the importance of patient education regarding smoking cessation.

scholarly journals Functional Cast Bracing in Selected Cases of Tibial Shaft Fracture in the Population of Odisha - A Prospective Study

2021 ◽  
Vol 8 (9) ◽  
pp. 462-466
Author(s):  
Manoranjan Mallik ◽  
Ramesh Chandra Maharaj ◽  
Pravat Kumar Rout ◽  
Debi Prasad Nanda ◽  
Prajnadipta Rout
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Full Range ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union ◽  
Fracture Tibia ◽  
A Prospective Study ◽  
Ideal Method

BACKGROUND Tibial shaft fracture is one of the commonest fractures encountered in orthopaedic clinics today. With recent trend being surgical management, it has increased the economic burden in developing countries like India. Thus, interest in functional cast bracing can manage many of the fractures safely with less cost and shorter hospital stay with equally good results. METHODS This prospective study included 30 patients with closed tibial shaft fracture with minimal displacements who were treated with 3 weeks of initial long leg cast followed by functional cast bracing as described by Sarmiento in 1967 with a below knee patellar tendon bearing (PTB) cast with encouraged progressive weight bearing for 6 to 9 weeks. Our goal was to achieve shortening of < 10 mm, angulations of less than 5 degrees in any plane with full range of motion at knee as per Sarmiento. RESULTS Union was seen in 25 (83 %) cases. Angulations of < 5 degrees was noted in any plane in 79 % cases. Varus and apex posterior angulations were the most common deformity. Shortening 10 mm was noted in 72 % cases with almost complete ROM of knee joint in all patients. Non-union was noticed in 2 (7 %) cases. CONCLUSIONS Functional cast bracing can still be an ideal method of management for many of the tibial shaft fractures and with better understanding of the technique and proper application, it can safely be used on other long bones as well. KEYWORDS Closed Fracture Tibia, Functional Cast Brace

scholarly journals Radiographic cortical thickness parameters as predictors of rotational alignment in proximal tibial shaft fractures: a cadaveric study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alexander M. Keppler ◽  
Konstantin Küßner ◽  
Anna-Lena Schulze ◽  
Eduardo M. Suero ◽  
Carl Neuerburg ◽  
...  
Keyword(s):  
Cortical Thickness ◽  
Shaft Fracture ◽  
Diagnostic Tools ◽  
Transverse Diameter ◽  
Suitable Model ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Torsional Malalignment ◽  
Tibial Shaft Fractures

Abstract Aim The treatment of tibial fractures with an intramedullary nail is an established procedure. However, torsional control remains challenging using intraoperatively diagnostic tools. Radiographic tools such as the Cortical Step Sign (CSS) and the Diameter Difference Sign (DDS) may serve as tools for diagnosing a relevant malrotation. The aim of this study was to investigate the effect of torsional malalignment on CSS and DDS parameters and to construct a prognostic model to detect malalignment. Methods A proximal tibial shaft fracture was set in human tibiae. Torsion was set stepwise from 0° to 30° in external and internal torsion. Images were obtained with a C-arm and transferred to a PC for measuring the medical cortical thickness (MCT), lateral cortical thickness (LCT), tibial diameter (TD) in AP and the anterior cortical thickness (ACT) as well as the posterior cortical thickness (PCT) and the transverse diameter (TD) of the proximal and the distal main fragment. Results There were significant differences between the various degrees of torsion for each of the absolute values of the examined variables. The parameters with the highest correlation were TD, LCT and ACT. A model combining ACT, LCT, PCT and TD lateral was most suitable model in identifying torsional malalignment. The best prediction of clinically relevant torsional malalignment, namely 15°, was obtained with the TD and the ACT. Conclusion This study shows that the CSS and DDS are useful tools for the intraoperative detection of torsional malalignment in proximal tibial shaft fractures and should be used to prevent maltorsion.

Novel Parathyroid Hormone-Based Bone Graft, KUR-113, in Treatment of Acute Open Tibial Shaft Fracture

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Valentin Orbeanu ◽  
Horia Haragus ◽  
Dan Crisan ◽  
Catalin Cirstoiu ◽  
Branko Ristic ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Bone Graft ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

scholarly journals Symptomatic fibular non-union after union of accompanying tibial shaft fracture

Injury Extra ◽  
2006 ◽  
Vol 37 (3) ◽  
pp. 135-137 ◽  
Author(s):  
M.C. Kokkinakis ◽  
A. Bebbington ◽  
P.R.M. Black
Keyword(s):  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

scholarly journals Result of closed interlocking intramedullary nail in tibial shaft fracture

2012 ◽  
Vol 44 (1-2) ◽  
pp. 15-17
Author(s):  
AHSM Kamruzzaman ◽  
S Islam
Keyword(s):  
Intramedullary Nail ◽  
Joint Stiffness ◽  
Shaft Fracture ◽  
Autogenous Bone ◽  
Tibial Shaft Fracture ◽  
Early Mobility ◽  
Non Union ◽  
Orthopedic Surgeons ◽  
Interlocking Intramedullary Nail ◽  
Diaphyseal Fractures

The management of tibial diaphyseal fractures has always held a particular interest for orthopedic surgeons. Not only they are relatively common but also they are often difficult to treat. This prospective study was carried out at Rangpur from April 2008 to November 2009. 34 patients were treated by closed interlocking intramedullary nail. Goal of this study was to find out a safe & effective management of fracture, early mobility of patient, functional joint motion and short stay in hospital. Routine follow up was carried out in 29 patients. In 24 cases, fracture (81.76%) were united, 4 cases (13.79%) needed dynamisation with autogenous bone grafting and 1 case devoloped non union. Study showed interlocking nailing in tibia provides early mobility of patients, reduces hospital stay and fracture unites without joint stiffness and less complication.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10470Bang Med J (Khulna) 2011: 44(1&2) 15-17

Clamp external fixator for IIIb open tibial shaft fracture

1999 ◽  
Vol 12 (3) ◽  
pp. 557
Author(s):  
Jeung Tak Suh ◽  
Byung Guk Park ◽  
Chong Il Yoo
Keyword(s):  
External Fixator ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft
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