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The intact fibula.

K J O'Dwyer¹, L Devriese, H Feys

¹Royal Devon and Exeter Hospital, UK.

|January 1, 1992

Summary

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An intact fibula in tibial shaft fractures indicates a better prognosis and lower rates of delayed union. This finding suggests less severe trauma and is more common in younger adults.

Area of Science:

Orthopedic Surgery
Traumatology
Radiology

Background:

Tibial shaft fractures are common injuries.
The role of fibular integrity in tibial shaft fracture prognosis requires further clarification.

Purpose of the Study:

To evaluate the prognostic significance of an intact fibula in adult tibial shaft fractures.

Main Methods:

Retrospective review of 281 adult tibial shaft fracture cases.
Analysis of patient notes and radiographs.
Correlation of fibular integrity with delayed union rates.

Main Results:

An intact fibula was observed in 17% of cases.
Lower delayed union rates were associated with an intact fibula.

Related Experiment Videos

Tibial shaft fractures with an intact fibula were linked to less severe trauma.

These fractures are rare in individuals over 30 years old.

Conclusions:

Intact fibula is a significant positive prognostic indicator for tibial shaft fractures.
Fractures with intact fibula suggest milder trauma mechanisms.
Age is a factor, with rarity in older adults.