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 difficult fractures

Difficult fractures of the tibial shaft are always caused by a high-energy direct trauma. They are frequently associated with important soft tissue injuries, and the vascularization of the intermediate bone fragment is severely disturbed. The postoperative problems of 40 patients with 41 segmental tibial shaft fractures were reviewed. Twenty-three fractures (56.1%) were treated with a plate osteosynthesis, 18 (43.9%) with an external fixator. Thirty-seven fractures could be followed-up until bony consolidation. Bone-healing problems were seen in 29%, always in the distal fracture. A good functional result, could be obtained in 78.4%. The problems of each stabilization method are discussed. The vascularization of the intermediate segment may not be endangered secondarily by the stabilization procedure.

Fracture & Strains of hip
Dislocation of hip
Dysplasia of hip
Arthritis of hip
Pelvis Fractures
Young/Adult Hip Disease
Avascular Necrosis
Injury to the Knee Ligament
Fractures of Knee
Arthritis of the Knee

Among the most common signs of these fractures include difficulty in mobility, unbearable pain, swelling in the affected area, stiffness in joints and a general feeling of weakness in the affected person. The most likely treatments of these fractures may include hip replacement, hip revision, knee replacement, knee revision or partial knee replacement as well in some cases.


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