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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Care Controversies: Proximal Tibia Fracture in a 29-Year-Old Woman: Locked Lateral Plating Versus Intramedullary
Zachary A Rockov1, Erika Roddy
1Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA.
Clinical Vignette:
A 29-year-old woman with no medical history presented after being a pedestrian struck by a motor vehicle. She sustained an APC2 pelvic ring injury, a closed olecranon fracture, and a closed proximal tibia fracture ( Fig. 1 ). Clinical evaluation is notable for significant edema and early serous fracture blister formation overlying the proximal tibia fracture. The patient is neurovascularly intact. Imaging of the tibia demonstrates an extra-articular proximal tibia fracture. The patient underwent application of anterior pelvic external fixation and knee spanning external fixator within 24 hours of arrival.
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