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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Open tibial fractures: An overview.

Marios Nicolaides1,2, Georgios Pafitanis2,3, Alexandros Vris1,4

  • 1Division of Orthopaedics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Journal of Clinical Orthopaedics and Trauma
|July 15, 2021
PubMed
Summary

Open tibial fractures are complex injuries. Modern management, rooted in ancient practices, has reduced complications, but challenges like infection and non-union persist, driving innovation in surgical approaches.

Keywords:
Lower extremityOpen tibial fractureOrthoplasticsTrauma

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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Surgical History

Background:

  • Open tibial fractures present significant challenges due to extensive soft tissue damage.
  • Historically, these injuries had high rates of severe complications, including amputation and death.
  • Despite advancements, post-operative complications remain a concern in managing these complex fractures.

Purpose of the Study:

  • To review the historical management of open tibial fractures.
  • To discuss the epidemiology and classification of these injuries.
  • To outline current surgical principles and outcomes, including the Orthoplastic approach.

Main Methods:

  • Literature review of historical and contemporary management strategies.
  • Analysis of epidemiological data and classification systems.
  • Synthesis of evidence-based guidance and emerging surgical techniques.

Main Results:

  • Historical practices laid the foundation for modern treatment protocols.
  • Advancements in surgical techniques have significantly decreased complication rates.
  • The Orthoplastic approach represents a notable development in managing complex cases.

Conclusions:

  • Open tibial fracture management has evolved significantly, balancing historical insights with modern innovations.
  • Continued refinement of surgical techniques is crucial for improving patient outcomes.
  • The Orthoplastic approach offers promising solutions for complex soft tissue and bone reconstruction.