scholarly journals Modified fracture brace for tibial fracture with varus angulation: A case report

1995 ◽  
Vol 19 (2) ◽  
pp. 115-119 ◽  
Author(s):  
S. F. T. Tang ◽  
T. L. S. Au ◽  
A. M. K. Wong ◽  
M. Y. Lee

Sarmiento introduced the functional fracture brace for the management of tibial shaft fracture in 1963. However, tibial angulation with varus deformity cannot be prevented or corrected by such a device. In this paper, a case of tibial shaft fracture with varus angulation treated with a modified below-knee fracture brace was reported.

2016 ◽  
Vol 51 (5) ◽  
pp. 597-600
Author(s):  
Caio Zamboni ◽  
Felipe Augusto Garcez de Campos ◽  
Noel Oizerovici Foni ◽  
Rafael Carboni Souza ◽  
Ralph Walter Christian ◽  
...  

2009 ◽  
Vol 30 (12) ◽  
pp. 1225-1228
Author(s):  
Conor Regan ◽  
Nick Ianuzzi ◽  
Selene G. Parekh

2020 ◽  
Vol 06 (03) ◽  
pp. e160-e163
Author(s):  
Túlio Vinícius de Oliveira Campos ◽  
Marcelo Nacif Moraes ◽  
Marco Antônio Percope de Andrade ◽  
Robert C. Schenck ◽  
Simon T. Donell

AbstractKnee dislocations associated with ipsilateral tibial shaft fracture represent one of the most challenging injuries in trauma surgery. This injury occurs in only 2% of all tibial fractures in several series. With the use of intramedullary nail (IMN) of the tibia, current practice paraments suggest that transtibial tunnels should be avoided and ligamentous knee surgery be delayed until healing of the shaft fracture occurs. We report a novel case which was successfully managed by delayed IMN and multiligamentous transtibial posterior cruciate ligament (PCL) and posterolateral corner (PLC) autograft reconstructions. A 27-year-old male sustained a Gustilo-Anderson grade IIIa tibial shaft fracture and a Schenck IIIL knee dislocation (KD3L) in the ipsilateral knee. At 2 weeks, the patient was then taken back to the operating theater to undergo definitive bone fixation and ipsilateral simultaneous knee ligamentous reconstruction. The knee was stabilized by open reconstruction of the PCL under fluoroscopic control using an ipsilateral quadriceps autograft fixed with metallic interference screws. The PLC was reconstructed with ipsilateral semitendinosus autograft harvested through a separate 1.5-cm standard anteromedial incision using the technique described by Stannard et al. After graft fixation, the 90 degree posterior and posterolateral drawer and 0 and 30 degrees varus stress tests were negative. After 12 months follow-up, the patient had no complaints regarding pain or instability. The tibial fracture had healed and no knee axis deviation could be noted. The patient had returned to recreational low demand activities and motorcycle riding. Treatment of a combined tibial shaft fracture with an ipsilateral knee dislocation may be satisfactorily accomplished with an IMN for the tibia and transtibial tunnel fixation for knee ligament reconstruction allowing for a single rehabilitation course and a shorter recovery without having to use a third stage for knee ligamentous reconstruction.


2020 ◽  
Vol 25 (5) ◽  
pp. 911-914
Author(s):  
Kazuyoshi Baba ◽  
Taku Hatta ◽  
Koichi Sasajima ◽  
Mitsuyoshi Mineta ◽  
Eiji Itoi ◽  
...  

2017 ◽  
Vol 5 (5_suppl5) ◽  
pp. 2325967117S0019
Author(s):  
Roger Paterson

Objectives: To identify the risk of spontaneous proximal tibial shaft fracture after distallization of the patella, and prevention strategies. Methods: Case reports and operative technique. Two cases of tibial fracture are presented, arising from a stress riser in the tibial crest due to a residual anterior cortical defect. There had been no warning symptoms before the fractures. Results: The fractures required internal fixation of the proximal tibial shaft. Discussion: Prevention requires check X-Ray prior to return to full activity after patella distallization, and possible further surgery if a residual cortical defect is identified. At the time of the index surgery, the risk of a residual cortical defect can be minimized by ensuring accurate apposition of the two anterior bone fragments, and applying compression across the site of an oblique osteotomy between those fragments where a bone segment is resected. Conclusion: Awareness of this potential complication should ensure effective preventative strategies.


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