Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.4K
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...
3.4K
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

4.0K
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...
4.0K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effects of date palm and green tea polyphenol extracts on the thermal stability and mechanical properties of poly lactic acid.

Scientific reports·2026
Same author

Simultaneous Enchondroma and Osteochondroma in the Hand: A Case Report.

La Clinica terapeutica·2025
Same author

The role of the urinary microbiome on male benign prostatic hyperplasia (BPH) and its management using probiotic supplementation: a narrative review.

European review for medical and pharmacological sciences·2024
Same author

Virtual reality for surgical training in balloon kyphoplasty procedure.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2024
Same author

Helical PHILOS plating in shaft humeral fractures with proximal extension: a safe choice using an anterior approach.

La Clinica terapeutica·2024
Same author

A two-window mini-open approach for suprapectoral tenodesis for traumatic ruptures of the long head of the biceps tendon.

La Clinica terapeutica·2023
Same journal

Thumb Reconstruction Using a Modified Masquelet Technique Following Crush Injury: A Case Report.

Malaysian orthopaedic journal·2026
Same journal

Orthopaedic Trauma Care in Gaza: Malaysian Emergency Medical Teams' Experience and Challenges.

Malaysian orthopaedic journal·2026
Same journal

Outcome Analysis of Single Stage Total Knee Arthroplasty with Long Tibial Stem in Complex Primary Osteoarthritis with Tibia Stress Fracture.

Malaysian orthopaedic journal·2026
Same journal

Prevalence of Symptomatic Reherniation After Lumbar Discectomy Using a Bone-Anchored Annular Closure Device and Associated Contributing Factors: A Meta-Analysis.

Malaysian orthopaedic journal·2026
Same journal

Outcomes of Medial Open Wedge High Tibial Osteotomy in a University Hospital.

Malaysian orthopaedic journal·2026
Same journal

Comparison of Outcome Between Neoadjuvant Chemotherapy with Limb Salvage Surgery and Amputation with Chemotherapy in Osteosarcoma Patients: A Systematic Review.

Malaysian orthopaedic journal·2026
See all related articles

Related Experiment Video

Updated: Aug 2, 2025

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.4K

Distal Tibia Fractures: is the Tibia First Technique a Rational Approach?

G Touloupakis1, M Messori1, A Gilli1

  • 1Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy.

Malaysian Orthopaedic Journal
|April 17, 2023
PubMed
Summary
This summary is machine-generated.

The tibia-first surgical concept offers a viable treatment option for distal tibia fractures, showing positive clinical and radiographic outcomes. This approach may reduce surgical stress, especially in complex cases with fibular involvement.

Keywords:
minimally invasive plate osteosynthesisosteosynthesispilon fracturetibia-first concepttrauma

More Related Videos

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

13.5K
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K

Related Experiment Videos

Last Updated: Aug 2, 2025

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.4K
Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

13.5K
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9K

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Lower Extremity Fractures

Background:

  • Distal tibia fractures present complex treatment challenges.
  • The traditional approach to these fractures requires careful consideration of both tibial and fibular fixation.
  • The
  • tibia-first concept
  • proposes an alternative fixation sequence.

Purpose of the Study:

  • To evaluate the clinical and radiographic outcomes of the "tibia-first concept" for distal tibia fractures.
  • To assess the efficacy of this approach in patients with and without fibular comminution.
  • To compare outcomes using standardized functional and pain assessment scales.

Main Methods:

  • Retrospective case-series study of 22 patients with distal tibia and fibula fractures.
  • Patients treated between January 2015 and September 2020.
  • Clinical and radiographic evaluations included the Foot and Ankle Outcome Score (FAOS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale.

Main Results:

  • Mean patient age was 52.8 years with a mean follow-up of 13.18 months.
  • Mean FAOS scores: Pain 80.70, Symptoms 81.69, Daily Living 87.22, Quality of Life 76.05.
  • Mean AOFAS ankle-hindfoot score was 74.36.

Conclusions:

  • The tibia-first concept is a valid option for specific distal tibia fracture cases.
  • Achieving good intra-operative reduction via ligamentotaxis supports this approach.
  • Fixing the tibia first can potentially minimize surgical stress on surrounding tissues compared to fibular fixation first.