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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bone Disorders01:29

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Related Experiment Video

Updated: Oct 12, 2025

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

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Open tibia/fibula in the elderly: A retrospective cohort study.

Alice Lee1, Luke Geoghegan1, Grant Nolan1

  • 1Department of Plastic and Reconstructive Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

JPRAS Open
|November 22, 2021
PubMed
Summary

Elderly patients with open tibia/fibula fractures experience severe soft tissue damage, similar to younger patients. Current guidelines are suitable for acute management, but rehabilitation needs require review.

Keywords:
ankle fractureelderlyfree flap reconstructionlimb reconstructionlimb salvagelower limb fractureopen fracturetibial fracturetrauma

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Geriatric Medicine

Background:

  • Increasing incidence of open tibia/fibula fractures in the elderly.
  • Current guidelines primarily address high-energy injuries in younger populations.
  • Conflicting evidence on age-related differences in open fracture treatment and outcomes.

Purpose of the Study:

  • Compare injury characteristics, treatment, and outcomes of elderly versus younger patients with open tibia/fibula fractures.
  • Determine if elderly patients sustain different injuries.
  • Inform future guidelines for elderly trauma care.

Main Methods:

  • Retrospective single-center cohort study (December 2015-July 2018).
  • Comparison of 157 elderly (≥65 years) and younger (18-65 years) patients.
  • Inclusion of an extended cohort for free flap reconstruction analysis.

Main Results:

  • High-energy injuries were more frequent in younger patients (88% vs 37%).
  • Elderly patients had longer debridement wait times and inpatient stays.
  • No significant differences in time to antibiotics, operative approach, or complications; soft tissue injury severity was comparable.

Conclusions:

  • Despite lower-energy mechanisms, elderly patients sustain severe soft tissue injuries.
  • Age and comorbidities should not preclude lower limb reconstruction.
  • Current management guidelines are applicable acutely, but peri-operative optimization and rehabilitation require tailored approaches for the elderly.