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  • Fractures of The Tibia

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    Anda Madalina Zaharia
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    Fractures of the tibia can occur through direct or indirect mechanisms such as torsion or flexion. Simple fractures make up 66% and are transverse, oblique, or spiral in pattern while complex fractures involve more components. Complications include cutaneous issues classified by the Gustilo-Anderson system, arterial damage, and nerve injuries. Diagnosis involves clinical examination and radiology, sometimes with arteriography. Treatment options are non-operative, Sarmiento casting, bipolar traction with casting, or operative fixation using intramedullary nails, plates and screws, external fixators, or circular frames. Post-operative complications can be infection, malunion, skin necrosis, thromboembolism, compartment syndrome, or

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    Fractures of the tibia can occur through direct or indirect mechanisms such as torsion or flexion. Simple fractures make up 66% and are transverse, oblique, or spiral in pattern while complex fractures involve more components. Complications include cutaneous issues classified by the Gustilo-Anderson system, arterial damage, and nerve injuries. Diagnosis involves clinical examination and radiology, sometimes with arteriography. Treatment options are non-operative, Sarmiento casting, bipolar traction with casting, or operative fixation using intramedullary nails, plates and screws, external fixators, or circular frames. Post-operative complications can be infection, malunion, skin necrosis, thromboembolism, compartment syndrome, or

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    23 views12 pages

    Fractures of The Tibia

    Uploaded by

    Anda Madalina Zaharia
    Fractures of the tibia can occur through direct or indirect mechanisms such as torsion or flexion. Simple fractures make up 66% and are transverse, oblique, or spiral in pattern while complex fractures involve more components. Complications include cutaneous issues classified by the Gustilo-Anderson system, arterial damage, and nerve injuries. Diagnosis involves clinical examination and radiology, sometimes with arteriography. Treatment options are non-operative, Sarmiento casting, bipolar traction with casting, or operative fixation using intramedullary nails, plates and screws, external fixators, or circular frames. Post-operative complications can be infection, malunion, skin necrosis, thromboembolism, compartment syndrome, or

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Fractures of the Tibia

    Mechanism
    Direct Indirect : torsion , flexion

    Fx. pattern
    Simple fx. (66%) : transversal oblique spiroid Complex fx.

    Complications
    Cutaneous : Gustilo Anderson classification

    Arterial
    Nervous

    Diagnostic
    clinical examiation radiological
    Arteriography (+/-)

    Treatment
    Non-operative :

    Treatment
    Sarmiento

    Treatment
    Bipolar traction + cast

    Treatment
    Operative : IF w screws plate + screws GK nail external fixator

    Treatment

    6W

    8M

    Complications
    Infection :
    closed fx. 2.3% GA I&II open fx. 3% Malunion Skin necrosis Thrombembolism Compartment syndrom Non union / delayed union

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