Management of Segmental Tibial Fracture with Composite Fixation - Technical Aspect
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 5
Abstract
Fracture reduction of the proximal tibia is technically challenging interms of attaining coronal and sagittal alignment by surgical reduction and fixation. Especially in a segmental fracture tibia with proximal third involvement difficulty arises in terms of choice of implant, approaches and complications especially malalignment. This demonstrative case is of a 35 year old woman involved in a car versus motorcycle collision sustaining an open, proximal right tibia and fibula fracture. Extensive soft tissue stripping and exposed bone was noted at presentation. Plantar sensation was intact; dorsalispedis and posterior tibialis pulses was felt. Surgical debridement and temporary stabilization was urgently performed. Subsequent composite fixation was performed using proximal tibial locking compression plate and intramedullary stabilisation using patellar tendon splitting technique for tibial nail insertion. Bone healing without infection was able to be achieved with good clinical outcome. Sometimes additional forceps and implants are needed to secure stability. Keywords:composite fixation, patella tendon splitting technique, tibia nailing and plate
Authors and Affiliations
Dr. Tilak Raj. K, Dr. Vijaysoruban
Keywords
Related Articles
- EP ID EP379221
- DOI -
- Views 71
- Downloads 0
A Chronic Pharyngitis: A Rare Case Report
Abstract: The common disease in pharynx is called pharyngitis means inflammation of pharynx. This is the commonest variety of sore throat and is usually associated with cold and hoarseness of voice. Pharyngitis occurs du...
Pure intrasellar meningioma located under the pituitary gland: A Case Report
Meningioma are mostly benign intracranial tumor ,Subglandularmenigiomas located under pituitary gland are extremily rare.Intrasellarmeningiomas in the in the subglandular and sub diaphragmatic region originate from dura...
Sarcomatoidurothelial carcinoma of urinary bladder with heterologous smooth muscle elements-a case report and review of literature
Sarcomatoidurothelial carcinoma is a biphasic malignant neoplasm exhibiting morphologic and or immunohistochemical evidences of both epithelial and mesenchymal differentiation. This uncommon vesical neoplasm is more freq...
Sclerosing Osteomyelitis of Garre of Tibia Diaphysis Masquerading as Recalcitrant Medial Tibial Stress Syndrome
Chronic sclerosing oteomyelitis of Garré is an uncommon form of bone infection with variable clinical presentations. Symptomatic cases have a swollen, tender segment of the affected bone that may require surgical decompr...
Natal Teeth: An Interesting Finding in Newborn
Natal teeth that are defined as teeth present at birth and neonatal teeth, defined as teeth observed in the first 30 days of life are uncommonly seen in nursery and post natal wards. They are prone to cause feeding probl...