1.Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures: Technical Note.
Jae Ang SIM ; Beom Koo LEE ; Kwang Hui KIM ; Yong Seuk LEE
Journal of the Korean Fracture Society 2013;26(4):327-332
Minimally invasive plate osteosynthesis (MIPO) is beneficial for proximal tibial fractures since these injuries are mostly caused by high energy traumas. The advantages of MIPO are minimization of soft tissue dissection and preservation of periosteal vascularization. Lateral plating has mostly developed as MIPO for proximal tibial fractures. We introduce minimal invasive percutaneous plate stabilization using a medial locking plate as alternative treatment for proximal tibial fractures.
Tibial Fractures
2.Management of Open Tibial Fractures: Role of Internal Fixation.
Journal of the Korean Fracture Society 2007;20(4):349-354
No abstract available.
Tibial Fractures*
3.Management of Open Tibial Fractures: Role of Internal Fixation.
Journal of the Korean Fracture Society 2007;20(4):349-354
No abstract available.
Tibial Fractures*
4.Treatment of Complex Distal Tibial Fractures.
Journal of the Korean Fracture Society 2005;18(4):485-490
No abstract available.
Tibial Fractures*
5.A clinical study of segmental tibial fracture.
Kun Yung LEE ; Young Jin CHUNG ; Young Key LEE
The Journal of the Korean Orthopaedic Association 1993;28(1):264-275
No abstract available.
Tibial Fractures*
6.A clinical study of segmental tibial fracture.
Chang Uk CHOI ; Jae Uk KWON ; Man Sik YANG ; Kwang Kon KO ; Seung Ryeol YOON
The Journal of the Korean Orthopaedic Association 1992;27(1):148-157
No abstract available.
Tibial Fractures*
7.Clinical study of external fixation for type 3 open tibial fractures .
Chong Il YOO ; Hui Taek KIM ; Weon Wook PARK
The Journal of the Korean Orthopaedic Association 1991;26(6):1667-1676
No abstract available.
Tibial Fractures*
8.Effectiveness of Serial Measurement of Differential Pressure in Closed Tibial Diaphyseal Fractures in Diagnosing Acute Compartment Syndrome using Whiteside's Technique
Ramprasath DR ; Thirunarayanan V ; David J ; Anbazhagan S
Malaysian Orthopaedic Journal 2016;10(1):1-4
Acute Compartment Syndrome is a limb-threatening
emergency and it occurs most commonly after fractures. The
aim of our study is to find out the effectiveness of serial
measurement of differential pressure in closed tibial
diaphyseal fractures, in diagnosing acute compartment
syndrome, using Whiteside’s technique. A total of 52 cases in
the age group of 15 to 55 years admitted with closed
fractures were studied for serial compartment pressure as
well as serial differential pressure. Eight patients had
persistent compartment pressure > 40mmHg, out of which
only two patients had persistent differential pressure <
30mmHg and these two patients underwent fasciotomy.
Thus, by measuring the compartment pressure serially and
calculating differential pressure serially, acute compartment
syndrome can be diagnosed or ruled out with higher
precision, so that unnecessary fasciotomies can be avoided.
Tibial Fractures
9.Anterior Knee Pain after Tibial Intra-medullary Nailing: Is it Predictable?
Soraganvi PC ; Anand-Kumar BS ; Rajagopalakrishnan R ; Praveen-Kumar BA
Malaysian Orthopaedic Journal 2016;10(2):16-20
Introduction: Intramedullary nailing has been used
frequently for the treatment of tibial diaphyseal fractures.
Chronic anterior knee pain has been considered the most
frequent post-operative complication of this technique. We
investigated the relationship between anterior knee pain and
position of nail tip in proximal tibia.
Methods: 103 patients were selected among patients who
underwent interlocking nailing in our institution. Patients
with other factors that might cause anterior knee pain were
excluded. In all patients intramedullary nailing was done
using transpatellar approach. The patients were evaluated in
two groups, 42 patients had anterior knee pain (Group A),
whereas 61 patients did not have pain (Group B). The
distance from nail tip from tibial plateau was measured on
lateral radiographs. Nail prominence from anterior tibial
cortex was also measured.
Results: The two groups were similar with respect to gender
and follow up period. Out of 42 patients who had knee pain
21 (50%) had nail tip within proximal third distance from
plateau to tibial tuberosity. Twenty-four patients (42%)
among knee pain group had nail prominence of more than
5mm from anterior tibial cortex followed by 12 patients
(29%) within 5mm and 12 patients (29%) nail tip buried
within the anterior cortex.
Conclusion: A greater incidence of knee pain was found
when nail was prominent more than 5mm and when it is in
the proximal third distance from tibial plateau to tuberosity.
Patients should be aware of high incidence of knee pain
when the nail tip is placed in proximal third and prominence
of more than 5mm.
Tibial Fractures
10.Complications of Open Tibial Fracture Management: Risk Factors and Treatment
Lua JYC ; Tan VH ; Sivasubramanian H ; Kwek EBK
Malaysian Orthopaedic Journal 2017;11(1):18-22
Open tibial fractures result in high rates of complications.
This study aims to elucidate the risk factors causing these
complications, and suggest antimicrobial regimens based on
the organisms grown in post-operative infections. Over a
period of five years, 173 patients had sustained open tibial
fractures and undergone operative treatment at a single
institution. All surgical data was gathered retrospectively
through online medical records. Thirty-one patients (17.9%)
had sustained post-operative bony complications, while
infective complications were reported in 37 patients (21.4%).
Patients with Gustilo type III fractures were found to be
more than three times as likely to sustain post-operative
infective (p=0.007) or bony (p=0.015) complications,
compared to Gustilo type I or II fractures. The fracture
location and time taken to fixation did not significantly affect
the complication rate, but results were trending towards
significance. The commonest cause of infective
complications were hospital-acquired organisms, such as
Methicillin-resistant staphylococcus aureus (40.5%). Closer
monitoring of patients sustaining high grade Gustilo open
fractures, as well as antimicrobial prophylaxis for both
hospital-acquired organisms and environmental
contaminants, will result in the best outcome for patients.
Further studies with larger sample sizes are warranted, to
determine the significance of fracture location and time
taken to fixation on complication rates.
Tibial Fractures