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Fractures: Bone Repair

Fractures: Bone Repair

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...

Bones of the Lower Limb: Tibia and Fibula

Bones of the Lower Limb: Tibia and Fibula

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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Related Experiment Video

Updated: Sep 14, 2025

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

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

Published on: April 11, 2012

Plate nail constructs for complex proximal tibia fractures.

Daniel Marks¹, Matthew Dulas², Solomon Egbe²

¹Department of Orthopaedic Surgery and Rehabilitation Medicine, The University of Chicago Medical Center, Chicago, IL 60637, USA.

Trauma Case Reports

|July 23, 2025

Summary

This summary is machine-generated.

Combined minimally invasive plate and intramedullary nail fixation is a viable surgical option for complex proximal tibia fractures. This approach demonstrated good radiographic alignment and low complication rates in a recent patient series.

Keywords:

Case series Fracture Intramedullary nailing Plating Proximal tibia

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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

Area of Science:

Orthopedic surgery
Trauma surgery
Skeletal reconstruction

Background:

Complex proximal tibia fractures (AO/OTA 41C2/3 +/- 42, 41B2/3 + 42) present significant treatment challenges.
Minimally invasive surgical techniques are increasingly favored to reduce morbidity.

Observation:

A retrospective review of 15 patients treated with combined plate and intramedullary nail constructs for complex proximal tibia fractures.
Average follow-up was 6.2 months, with radiographic and clinical outcomes assessed.

Findings:

The combined approach achieved acceptable coronal (3.1° varus to 2.3° valgus) and sagittal (2.6° recurvatum to 2.0° procurvatum) alignment.
No intra-operative subsidence, reoperations, or component failures were noted. One superficial infection and one screw loosening occurred.

Implications:

Combined plate and nail constructs offer a practical and effective solution for complex proximal tibia fractures.
This technique shows promise for achieving good functional outcomes with a low complication profile in the short-to-medium term.