scholarly journals Physiotherapy Rehabilitation in Post Operative Tibia- Fibula Fracture with External Fixators

2021 ◽  
pp. 283-288
Author(s):  
Gunjan Ambalkar ◽  
Deepak Jain ◽  
Pratik Phansopkar
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
Road Traffic ◽  
Severe Trauma ◽  
Long Bone ◽  
External Fixators ◽  
Tibial Shaft ◽  
Fibula Fracture ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Introduction: A tibia - fibula fracture occurs when a fall or trauma to the lower extremities puts more tension on the bones than they can tolerate. Diaphyseal tibial fractures are the most common long bone fracture. Lower extremity Tibia and fibula fractures are examples of fractures. Tibial shaft fractures are most typically associated with a history of severe trauma. The tibia is the most commonly fractured bone in the lower extremity. The bone's shaft is in the middle Fibula fractures are usually, but not always, accompanied by tibial shaft fractures. Case Presentation: At the previous 15 days, a 49-year-old male patient accounted in a hospital with a road traffic accident. Discussion: The physiotherapy was given to this patient for muscle energy technique resulting in a high degree of range of motion in the lower extremity, reduce pain, and improves flexibility and strength. Conclusion: Physiotherapy has a significant effect on pain, strength, and range of motion. The result of this case report specifies that it may be effective for pain relief, improvement in strength, and functional ability.

scholarly journals Early Outcome of Treatment of Open Tibial Shaft Fractures Using External Fixators in Resource-Poor Setting

2018 ◽  
Vol 04 ◽  
pp. 1
Author(s):  
Innocent E. Abang ◽  
Joseph E. Asuquo ◽  
Chukwuemeka O. Anisi ◽  
Enagu A. Mpama ◽  
Obiora O. Onuba ◽  
...  
Keyword(s):  
Demographic Data ◽  
Resource Poor Setting ◽  
External Fixators ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Female Ratio ◽  
Wound Debridement ◽  
Shaft Fractures ◽  
Resource Poor ◽  
Tibial Shaft Fractures

To document the outcome of treatment in the first six months for open tibial shaft fractures managed with external fixators in resource-poor economy and the pattern of presentation of open tibial shaft fractures, a 12-month prospective observational study was conducted from January 2010 to December 2010. All the patients were recruited from the accident and emergency department of the University of Calabar Teaching Hospital. The demographic data of each patient, the type of injury, the mechanism of injury, and the outcomes were assessed. Moreover, 42 patients with open tibial shaft fracture were recruited for this study with forty (95.2%) patients successfully followed up for six months while two patients (4.8%) were lost to follow-up. Their ages ranged from 18 to 65 years with a mean age ± standard deviation of 33.5 ± 12.8 years. Majority of the patients (77.5%) were aged 20-50 years. There was a male to female ratio of 3:1. A total of 7 (17.5%) fractures healed after 20 weeks, Type IIIB fractures were 3 (7.5%), Type IIIA fractures were 4 (10%), but all Type II fractures had united between 12 and 15 weeks. The middle third fractures 9 (22.5%) had the highest number of fracture union within 16-20 weeks. The major cause of the injuries was from motorcycle accidents, which were 30 (75%), and others were from cars 7 (17.5%) and buses 3 (7.5%). This was largely due to the utilization of motorcycles as the major means of commercial transportation in the city until it was banned recently. However, they are still in use in the suburbs. The higher the Gustillo and Anderson grading of the open fracture of tibia, the more severe the wound and bone infection that occurred, and a significant interval between the injury time, wound debridement, and the time the external fixator was applied showed poor outcome for those who presented late (after two weeks of injury).

Tibial shaft fractures

2011 ◽  
Author(s):  
S. Naidu Maripuri ◽  
K. Mohanty
Keyword(s):  
Soft Tissue ◽  
Orthopaedic Surgeon ◽  
Long Bone ◽  
Tibial Shaft ◽  
Management Options ◽  
Soft Tissue Envelope ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures ◽  
Complex Cases

♦ The tibia is the most commonly fractured long bone♦ The orthopaedic surgeon needs to be familiar with all of the management options available in order to effectively manage the simple and complex cases♦ Problems associated with the soft tissue envelope are frequently encountered.

scholarly journals Epidemiology of tibial shaft fractures

2002 ◽  
Vol 10 (4) ◽  
pp. 10-17 ◽  
Author(s):  
Marco Aurélio Sertório Grecco ◽  
Idyllio do Prado Junior ◽  
Murilo Antonio Rocha ◽  
José Wagner de Barros
Keyword(s):  
External Fixation ◽  
Road Traffic ◽  
Plaster Cast ◽  
Epidemiological Studies ◽  
Open Fractures ◽  
Tibial Shaft ◽  
Cast Immobilization ◽  
Epidemiological Analysis ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

In this work an epidemiological analysis on tibial shaft fractures was performed. During four years, our service treated 179 fractures, 132 in male, 47 in female, aged 14 to 83 years. The 21 to 30-year-old patiens were the more injured. Of these, 120 were open and 59 close fractures of which prevailing cause was road traffic accident. The study based on patients promptuaries analyses and radiographs. The fractures occurred 97 times in the middle third (54.18%); 102 times (56.98%) presented simple fragments, and 57 (31.38%) oblique lines. We treated close and open fractures, respectively, 48 and 38 cases with plaster cast immobilization; 3 and 67 with external fixation after plaster cast immobilization; 5 and 12 with osteosynthesis by means of plate and screws, and 2 and 3 with external fixation only. In both close and open fractures, respectively, 7 and 20 cases of pseudarthrosis and 1 and 11 of infections have occurred. With the data obtained we verified an actual validity of the epidemiological studies as a contribution for better identifying lesions features and their treatment and complications. This allows proceedings and apprenticeship refinement.

scholarly journals Increasing rates of surgical treatment for paediatric tibial shaft fractures: a national database study from between 2000 and 2012

2019 ◽  
Vol 13 (2) ◽  
pp. 213-219 ◽  
Author(s):  
J E. Kleiner ◽  
J E. Raducha ◽  
A. I. Cruz, Jr.
Keyword(s):  
Surgical Treatment ◽  
Statistical Significance ◽  
Long Bone ◽  
National Database ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Tibial Shaft Fractures ◽  
Over Time

Purpose Tibia fractures are the third most common long bone fracture in children. Because of the remodelling potential of the tibial diaphysis, nonoperative treatment has historically been advocated for most tibial shaft fractures in children. The purpose of this study was to estimate the rate of surgical treatment of tibial shaft fractures over time and identify demographic factors associated with surgical treatment, utilizing a large, publicly available, national database. Methods The Healthcare Cost and Utilization Project Kids’ Inpatient Database was evaluated for the years between 2000 and 2012. Tibial shaft fractures and surgically treated patients were identified using International Classification of Diseases, 9th Revision, Clinical Modification codes. Univariable and multivariable logistic regression were used to determine variables associated with a greater proportion of surgical treatment. Statistical analyses were performed utilizing SAS statistical software v.9.4. Statistical significance was set at p < 0.05. Results In all, 24 166 tibial shaft fracture admissions were identified, with 15 621 (64.7%) treated surgically. The percentage of patients receiving surgery to treat tibial shaft fractures increased from 57.3% in 2000 to 74.3% in 2012 (p < 0.001). Multivariable regression showed that increasing age was associated with increased rate of surgical treatment (p < 0.001). The greatest increase in surgical treatment was seen in children aged five to nine years, increasing from 23.0% in 2000 to 46.2% in 2012. Conclusion The rate of operative treatment of paediatric tibial shaft fractures increased over time. The largest increase was seen in children aged five to nine years. Increased proportion of surgical treatment was associated with older age, concurrent femur fracture and non-Medicaid insurance status. Level of Evidence Level III - Retrospective comparative study

Ball-joint versus single monolateral external fixators for definitive treatment of tibial shaft fractures

2013 ◽  
Vol 24 (5) ◽  
pp. 821-828 ◽  
Author(s):  
Michail Beltsios ◽  
Andreas F. Mavrogenis ◽  
Olga D. Savvidou ◽  
Eirineos Karamanis ◽  
Zinon T. Kokkalis ◽  
...  
Keyword(s):  
Definitive Treatment ◽  
External Fixators ◽  
Tibial Shaft ◽  
Ball Joint ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Treatment of tibial shaft fractures in sheep using interlocking nails, Schanz screws and type I external fixators

2012 ◽  
Vol 15 (4) ◽  
pp. 651-659 ◽  
Author(s):  
A. Piórek ◽  
Z. Adamiak ◽  
Y. Zhalniarovich ◽  
M. Jaskólska
Keyword(s):  
Weight Bearing ◽  
External Fixators ◽  
Type I ◽  
Tibial Osteotomy ◽  
Tibial Shaft ◽  
Clinical Tests ◽  
Shaft Fractures ◽  
Bone Callus ◽  
Tibial Shaft Fractures ◽  
Observation Period

Abstract This paper presents the results of a study of the treatment of transverse tibial shaft fractures in six sheep with the use of interlocking nails and type I extemal fixators. During surgery, tibial osteotomy was performed to induce an experimental fracture which was stabilized using a type I extemal fixator. Osteosynthesis was monitored for nine weeks by performing clinical tests, observing the degree of lameness and subjecting the patients to weekly radiological examinations. After nine weeks, the animals were euthanized, and samples of bone callus were sampled for histopathological analyses. Weight bearing on the fractured limb began on day 2 to 4 after treatment. Limb function was fully restored around five weeks after surgery. Radiograms taken during the observation period revealed gradual hyperplasia and progressing mineralization of bone callus at different stages of healing. The histopathological picture of the bone callus was characteristic of the phase of bone turnover and remodeling.

Clinical and experimental assessment of the up-to-date treatment of the tibial shaft fractures

2010 ◽  
Vol 151 (15) ◽  
pp. 627-635 ◽  
Author(s):  
Norbert Wiegand
Keyword(s):  
Tibial Shaft ◽  
Experimental Assessment ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

A lábszártörés az összes csonttörés 15%-a, amely Magyarországon körülbelül 2500 esetet jelent évente. A törést elszenvedettek 90%-át műtéti úton kezeljük. Az utóbbi időkben a lábszártörések incidenciája emelkedett, a törések súlyossága fokozódott, valamint az egyre fejlettebb műtéti ellátások ellenére a szövődmények arányát sem sikerült minimálisra csökkenteni. A nyílt lábszártöröttek ellátása a felfúrás nélküli velőűrszeg bevezetését követően lényegesen megváltozott, a velőűrszegezés fokozatosan vette át a vezető szerepet az egyre magasabb fokú nyílt törések ellátásában, és alkalmassá vált a tibia proximalis és distalis harmada töréseinek kezelésére is. Új eljárásként a Marchetti–Vicenzi-szeget hazánkban elsőként alkalmaztuk klinikánkon, ezzel a módszerrel a tibia törései, különösen a distalis harmadi törések megbízhatóan, alacsony szövődményaránnyal rögzíthetők. A lábszárbrace és a felfúrás nélküli szegezés együttes alkalmazását 1997-ben dolgoztuk ki, bebizonyítottuk, hogy ezzel a módszerrel a lábszártörések gyógyulása gyorsabb, a rehabilitáció rövidebb időt vesz igénybe. A szövődmények klinikai kutatása során bebizonyítottuk, hogy a felfúrásos és a felfúrás nélküli szegezés során különböző mértékben változik a nyomás a tibiát körülvevő izomrekeszekben. Felfúrás nélküli szegezés során a mély rekeszben statisztikailag is magasabb nyomást mértünk. Az irodalmi adatokkal szemben igazoltuk, hogy nincs összefüggés a szegezés módja, a rekeszi nyomás emelkedése és a compartmentszindróma kialakulása között. A szövődmények alapkutatása során a compartmentszindrómás és Volkmann ischaemiás kontraktúrás betegek kóros harántcsíkolt izomszövetének differenciál pásztázó kalorimetriás vizsgálatát végeztük. Igazoltuk, hogy az ép és a keringésében károsodott izomszövet hőstabilitásában különbség van. Bebizonyítottuk, hogy az izomrekeszen belüli nyomás mértéke, a sérült izom strukturális károsodása és a kalorimetriával mért termokémiai értékei között szoros korreláció van. A kalorimetriás vizsgálat szenzitivitásának és specificitásának köszönhetően nagymértékben segítheti és kiegészítheti a helyes diagnózis felállítását azokban az esetekben, amikor az klinikailag nem egyértelmű.

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