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At least 37 records · Page 2Linked to original sources

Osteotomy of the proximal tibia in the treatment of adolescent tibia vara.

Between 1983 and 1990, 9 patients with 13 involved lower extremities had proximal tibial osteotomies for the treatment of adolescent tibia vara. Average age at the time of onset was 11 years, 8 months. All patients were black and obese. The interval between awareness of the bowleg deformity and presentation averaged 1.7 years. The mean preoperative tibiofemoral angle was 13 degrees varus. Stabilization was achieved by external fixation (6 extremities), crossed pins (4 extremities), or staples (3 extremities). One patient with bilateral deformity experienced multiple postoperative complications including osteomyelitis and recurrent varus deformity at the osteotomy sites, both successfully treated. Another patient had recurrence of the varus deformity and a leg-length discrepancy secondary to early closure of the medial proximal tibial physis. At an average follow-up of 4 years, two patients complained of occasional pain; none complained of pain that restricted normal activities. The mean improvement in the tibiofemoral angle at follow-up was 20 degrees, with a mean tibiofemoral angle of 6 degrees valgus. Overall, there were 10 good, no fair, and 3 poor results.

Adolescent↗

Case report 624. Stress fracture of distal portion of tibia associated with previously incurred gross fracture of more proximal segment of tibia.

A stress fracture occurring in the distal tibial metaphysis is presented. This fracture occurred in an area of disuse osteoporosis approximately 3 months following a gross traumatic fracture of the more proximal portion of the tibia. A stress fracture of the distal tibial metaphysis occurring secondary to a bimalleolar fracture of the same bone is also cited. The clinical settings in which tibial stress fractures have been reported are reviewed, as well as the difficulties inherent in the diagnosis and management of this entity.

Adult↗

Closed tibia fracture. "The effect of an intact fibula and the location of tibia fracture on fracture union".

Tibial fractures are common and complications occur more frequently than any other long bone fractures. The effect of fibula and location of fracture on union of Tibia fracture remain controversial. A retrospective study of unilateral closed tibial shaft fractures without any associated injury was done. From 1988 to 1992, 74 out of 103 patients were available for the study. There were 60 males and 14 females with the age ranges from 3 to 75 years with an average of 29.7 years. The differences of fractures healing were analyses with respect to the status of the fibula and the location of the tibial fracture. This study concludes that the location of the fracture and the status of the fibula have no significant influence on healing (p > 0.05).

Adolescent↗

[Salter-II fracture of the proximal tibia with avulsion of the tuberositas tibiae in the dog].

The combination of a fracture of the proximal tibia (Salter-Harris type II) with an avulsion of the tibial tuberosity is a rare injury in the growing dog. Internal fixation of the tibial plateau with K-wires, in some cases combined with a tension band wire for the avulsed tuberosity, resulted in complete healing. There is the possibility of developing growing deformities, therefore control radiographs should routinely be taken in 10 days intervals.

Animals↗