Tibial Shaft Fractures

Kojima, Kodi Edson; Ferreira, Ramon

doi:10.1016/s2255-4971(15)30227-5

Cited by 16 publications

(11 citation statements)

References 39 publications

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“…Each of the following steps focuses on key clinical parameters; AO/OTA classification method and recommendations are used 5 . When treating a tibial shaft fracture, it is always necessary to focus on the patient and, in case of multiple trauma, the quote "save life, save limb, save function" have to be applied.…”

Section: Discussionmentioning

confidence: 99%

Tibial shaft fractures:an experience-based 10-step pathway for treatment

2020

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Tibial shaft fractures are a heterogeneous group of lesions, the treatment of which requires adequate knowledge of managing both soft tissues and bony injuries for optimal outcome. The incidence of tibial shaft fractures has been recently quoted around 16.9/100,000 year, with an incidence among males almost twice that in women. Surgical or conservative treatment should always turn to accurate soft tissue management to reduce wound problems and avoid infections, together with fracture management to stabilize the lower limb, aiming at fracture healing and restoring good function, possibly with a quick return to everyday activities. In order to achieve these goals, the vast majority of adult tibial shaft fractures are treated surgically. The gold standard has been intramedullary nailing for several years, and this is probably the best treatment for most patients and fractures, but there are still some patterns that can require a different approach. The authors' aim is to produce a simple 10-step pathway that can be used as a decision making from the initial fracture pattern and soft tissue status evaluation in emergency department, passing across the choice of surgical or conservative treatment, to the final stage of tailoring the operative procedure.

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Section: Discussionmentioning

confidence: 99%

Tibial shaft fractures:an experience-based 10-step pathway for treatment

2020

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“…Severe pain is the earliest objective clinical finding, 7 and increased pressure and turgid compartment may be observed at palpation. Its severity is associated to the speed in which the pressure increases, its duration and the degree of tissue microcirculation impairment.…”

Section: Discussionmentioning

confidence: 99%

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Branco

Cardoso

Rotbande

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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This article reports the use of elastic suture as an adjuvant in surgical wound closure caused by decompressive fasciotomy after compartment syndrome associated with a compound fracture of the tibia. Widely used in other medico-surgical specialties, this technique is unusual in orthopedics surgery, but the simplicity of the procedure and the successful outcome observed in this case allows for its consideration as indicated for situations similar to that presented in this study.

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“…These injuries result from high-energy kinetic trauma, such as fall from height and car accidents; the latter are a major cause of fractures and lead to disability, with high socioeconomic costs. 1 , 2 , 3 , 4 , 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…Complete fracture healing may take several months, and only occurs after the completion of all stages. 2 , 4 , 11 …”

Section: Introductionmentioning

confidence: 99%

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Reliability of the radiographic union scale in tibial fractures (RUST)

Filho

Cotias

Azi

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThis study aimed to evaluate the inter- and intra observer reproducibility of the radiographic score of consolidation of the tibia shaft fractures.MethodsFifty-one sets of radiographs in anteroposterior (AP) and profile (P) of the tibial shaft treated with intramedullary nail were obtained. The analysis of X-rays was performed in two stages, with a 21-day interval between assessments by a group of nine evaluators. To evaluate the reproducibility of RUST score between the evaluators, the intra-class correlation coefficient (ICC) with a 95% confidence interval was used. ICC values range from +1, representing perfect agreement, to −1, complete disagreement.ResultsThere was a significant correlation among all evaluators: ICC = 0.87 (95% CI 0.81 to 0.91). The intraobserver agreement proved to be substantial with ICC = 0.88 (95% CI 0.85 to 0.91).ConclusionThis study confirms that the RUST scale shows a high degree of reliability and agreement.

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Tibial Shaft Fractures

Cited by 16 publications

References 39 publications

Tibial shaft fractures:an experience-based 10-step pathway for treatment

Tibial shaft fractures:an experience-based 10-step pathway for treatment

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Reliability of the radiographic union scale in tibial fractures (RUST)

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