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Orthopedic Traumatology pp 291–301Cite as

Closed Diaphyseal Tibia Fractures

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Abstract

AJ is a 31-year-old male who presents to the emergency department with a chief complaint of left leg pain after being struck in the leg with a 1,000 pound piece of granite while at work. He denies any other injuries or pain. On primary survey he demonstrates a GCS of 15, a patent airway, and is hemodynamically stable. On secondary survey he demonstrates a gross deformity to the left middle aspect of the leg. He has no past medical history. He takes no medications and has no allergies.

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References

  1. Reis ND, Better OS. Mechanical muscle-crush injury and acute muscle-crush compartment syndrome: with special reference to earthquake casualties. J Bone Joint Surg Br. 2005;87:450–3.

    PubMed  CAS  Google Scholar 

  2. Harris IA, Kadir A, Donald G. Continuous compartment pressure monitoring for tibia fractures: does it influence outcome? J Trauma. 2006;60:1330–5. discussion 5.

    Article  PubMed  Google Scholar 

  3. McQueen MM, Christie J, Court-Brown CM. Acute compartment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br. 1996;78:95–8.

    PubMed  CAS  Google Scholar 

  4. Sarmiento A, Latta LL. Fractures of the middle third of the tibia treated with a functional brace. Clin Orthop Relat Res. 2008;466:3108–15.

    Article  PubMed  Google Scholar 

  5. Martinez A, Sarmiento A, Latta LL. Closed fractures of the proximal tibia treated with a functional brace. Clin Orthop Relat Res. 2003;417:293–302.

    PubMed  Google Scholar 

  6. Oni OO, Hui A, Gregg PJ. The healing of closed tibial shaft fractures. The natural history of union with closed treatment. J Bone Joint Surg Br. 1988;70:787–90.

    PubMed  CAS  Google Scholar 

  7. Hooper GJ, Keddell RG, Penny ID. Conservative management or closed nailing for tibial shaft fractures. A randomised prospective trial. J Bone Joint Surg Br. 1991;73:83–5.

    PubMed  CAS  Google Scholar 

  8. Burwell HN. Plate fixation of tibial shaft fractures. A survey of 181 injuries. J Bone Joint Surg Br. 1971;53:258–71.

    PubMed  CAS  Google Scholar 

  9. van der Linden W, Larsson K. Plate fixation versus conservative treatment of tibial shaft fractures. A randomized trial. J Bone Joint Surg Am. 1979;61:873–8.

    PubMed  Google Scholar 

  10. Kristensen KD. Tibial shaft fractures. The frequency of local complications in tibial shaft fractures treated by internal compression osteosynthesis. Acta Orthop Scand. 1979;50:593–8.

    Article  PubMed  CAS  Google Scholar 

  11. Coles CP, Gross M. Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature. Can J Surg. 2000;43:256–62.

    PubMed  CAS  Google Scholar 

  12. Hay SM, Rickman M, Saleh M. Fracture of the tibial diaphysis treated by external fixation and the axial alignment grid: a single surgeon’s experience. Injury. 1997;28:437–43.

    Article  PubMed  CAS  Google Scholar 

  13. Dall’Oca C, Christodoulidis A, Bortolazzi R, Bartolozzi P, Lavini F. Treatment of 103 displaced tibial diaphyseal fractures with a radiolucent unilateral external fixator. Arch Orthop Trauma Surg. 2010;130:1377–82.

    Article  PubMed  Google Scholar 

  14. Emami A, Mjoberg B, Karlstrom G, Larsson S. Treatment of closed tibial shaft fractures with unilateral external fixation. Injury. 1995;26:299–303.

    Article  PubMed  CAS  Google Scholar 

  15. Bhandari M, Guyatt GH, Tornetta 3rd P, Swiontkowski MF, Hanson B, Sprague S, et al. Current practice in the intramedullary nailing of tibial shaft fractures: an international survey. J Trauma. 2002;53:725–32.

    Article  PubMed  Google Scholar 

  16. Bone LB, Johnson KD. Treatment of tibial fractures by reaming and intramedullary nailing. J Bone Joint Surg Am. 1986;68:877–87.

    PubMed  CAS  Google Scholar 

  17. Toivanen JA, Vaisto O, Kannus P, Latvala K, Honkonen SE, Jarvinen MJ. Anterior knee pain after intramedullary nailing of fractures of the tibial shaft. A prospective, randomized study comparing two different nail-insertion techniques. J Bone Joint Surg Am. 2002;84-A:580–5.

    PubMed  Google Scholar 

  18. Blachut PA, O’Brien PJ, Meek RN, Broekhuyse HM. Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. A prospective, randomized study. J Bone Joint Surg Am. 1997;79:640–6.

    PubMed  CAS  Google Scholar 

  19. Bhandari M, Guyatt GH, Tong D, Adili A, Shaughnessy SG. Reamed versus nonreamed intramedullary nailing of lower extremity long bone fractures: a systematic overview and meta-analysis. J Orthop Trauma. 2000;14:2–9.

    Article  PubMed  CAS  Google Scholar 

  20. Bhandari M, Guyatt G, Tornetta 3rd P, Schemitsch EH, Swiontkowski M, Sanders D, et al. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg Am. 2008;90:2567–78.

    Article  PubMed  Google Scholar 

  21. Drosos GI, Bishay M, Karnezis IA, Alegakis AK. Factors affecting fracture healing after intramedullary nailing of the tibial diaphysis for closed and grade I open fractures. J Bone Joint Surg Br. 2006;88:227–31.

    Article  PubMed  CAS  Google Scholar 

  22. Brumback RJ, Toal Jr TR, Murphy-Zane MS, Novak VP, Belkoff SM. Immediate weight-bearing after treatment of a comminuted fracture of the femoral shaft with a statically locked intramedullary nail. J Bone Joint Surg Am. 1999;81:1538–44.

    PubMed  CAS  Google Scholar 

  23. Emami A, Petren-Mallmin M, Larsson S. No effect of low-intensity ultrasound on healing time of intramedullary fixed tibial fractures. J Orthop Trauma. 1999;13:252–7.

    Article  PubMed  CAS  Google Scholar 

  24. Valdes MA, Thakur NA, Namdari S, Ciombor DM, Palumbo M. Recombinant bone morphogenic protein-2 in orthopaedic surgery: a review. Arch Orthop Trauma Surg. 2009;129:1651–7.

    Article  PubMed  Google Scholar 

  25. Moghaddam A, Elleser C, Biglari B, Wentzensen A, Zimmermann G. Clinical application of BMP 7 in long bone non-unions. Arch Orthop Trauma Surg. 2010;130:71–6.

    Article  PubMed  Google Scholar 

  26. Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing. Its use in closed and type I open fractures. J Bone Joint Surg Br. 1990;72:605–11.

    PubMed  CAS  Google Scholar 

  27. Bone LB, Sucato D, Stegemann PM, Rohrbacher BJ. Displaced isolated fractures of the tibial shaft treated with either a cast or intramedullary nailing. An outcome analysis of matched pairs of patients. J Bone Joint Surg Am. 1997;79:1336–41.

    PubMed  CAS  Google Scholar 

  28. Karladani AH, Granhed H, Edshage B, Jerre R, Styf J. Displaced tibial shaft fractures: a prospective randomized study of closed intramedullary nailing versus cast treatment in 53 patients. Acta Orthop Scand. 2000;71:160–7.

    Article  PubMed  CAS  Google Scholar 

  29. Toivanen JA, Honkonen SE, Koivisto AM, Jarvinen MJ. Treatment of low-energy tibial shaft fractures: plaster cast compared with intramedullary nailing. Int Orthop. 2001;25:110–3.

    Article  PubMed  CAS  Google Scholar 

  30. Saldua NS, Kuhn KM, Mazurek MT. Thermal necrosis complicating reamed intramedullary nailing of a closed tibial diaphysis fracture: a case report. J Orthop Trauma. 2008;22:737–41.

    Article  PubMed  Google Scholar 

  31. Weninger P, Tschabitscher M, Traxler H, Pfafl V, Hertz H. Intramedullary nailing of proximal tibia fractures – an anatomical study comparing three lateral starting points for nail insertion. Injury. 2010;41:220–5.

    Article  PubMed  Google Scholar 

  32. Lefaivre KA, Guy P, Chan H, Blachut PA. Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. J Orthop Trauma. 2008;22:525–9.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Victoria Hospital, 800 Commissioners Road, London, ON, Canada, N6A 4G5

    Marlis T. Sabo M.D., M.Sc., F.R.C.S.C.

  2. Department of Surgery, Victoria Hospital, E4-123 800 Commissioners Road, East London, ON, Canada, N6A 4G5

    David W. Sanders M.D., M.Sc., F.R.C.S.C.

Authors
  1. Marlis T. Sabo M.D., M.Sc., F.R.C.S.C.
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  2. David W. Sanders M.D., M.Sc., F.R.C.S.C.
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Corresponding author

Correspondence to David W. Sanders M.D., M.Sc., F.R.C.S.C. .

Editor information

Editors and Affiliations

  1. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    Manish K. Sethi

  2. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    A. Alex Jahangir

  3. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University Medical Center, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    William T. Obremskey

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Sabo, M.T., Sanders, D.W. (2013). Closed Diaphyseal Tibia Fractures. In: Sethi, M., Jahangir, A., Obremskey, W. (eds) Orthopedic Traumatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3511-2_20

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  • DOI: https://doi.org/10.1007/978-1-4614-3511-2_20

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3510-5

  • Online ISBN: 978-1-4614-3511-2

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