Proximal Tibial Fractures
Definition
Metaphysical
Extra-articular
Treatment options
IMN
Plate
Results
Jindal et al. Indian J Orthop 2020
- systematic review
- no different in malunion
- infection more common in plate
nail
Distal Tibial Fractures
Distal Tibial Fractures
Definition
Metaphyseal
Extra-articular
Intra-articular Extension
Management
Operative v Nonoperative Literature
1. Buckley etal JBJS Am 2002
Prospective multi-centred RCT
- 309 displaced intra-articular fractures
- operative v non operative management
- 2 year follow up
Findings
- used patient orientated functional outcomes
- overall VAS and SF36 not significantly different between 2 groups
Improved Operative Outcome if
- not workers compensation
- women
- < 29
Midshaft Tibial Fracture
Epidemiology
Most common long bone fracture
Aetiology
Young patients / sports
Elderly / simple falls
MVA - often compound
Tscherne Soft Tissue Classification
Grade 0
- nil ST injury
Grade 1