Comprised exclusively of nearly two dozen clinical cases covering fractures of the tibia, this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly manage injuries to the tibial shaft, plateau and pilon, as well as deformities, nonunions and bone loss. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls. Cases included illustrate different management strategies for Schatzker (I-VI) tibial plateau fractures, plates and screws for proximal tibia fracture, intramedullary nailing for midshaft and distal tibial fracture, and the use of Ex-Fix with open tibia and distal pilon fracture, in addition to Masquelet bone grafting and modified clamshell osteotomy for acute shaft fracture. Pragmatic and reader-friendly, Fracture of the Tibia: A Clinical Casebook will be an excellent resource for orthopedic surgeons confronted with various injuries to the shin.
- A cased-based, practical guide to the management of fractures of the tibia, demonstrating different implants and techniques
- Discusses the surgical approaches to open and closed fractures of the tibial plateau, shaft and pilon as well as deformities, nonunions and bone loss
- An excellent resource for practicing clinicians, residents and students alike
Section 1: Treatment of Proximal Tibia articular fractures.- Schatzker I/II Tibia Plateau Fracture.- Schatzker III Tibia Plateau Fracture (with Bone Graft Substitute).- Schatzker IV Tibia Plateau Fracture Treated with Open Reduction and Internal Fixations.- Bicondylar Tibial Plateau ORIF Technique.- Bicondylar Tibial Plateau Fracture (Schatzker VI).- Tibial Plateau Schatzker V/VI Treated in Ex Fix/Circular Frame.- Bicondylar Tibial Plateau Fracture with Compartment Syndrome.- Section 2: Treatment of Tibia shaft fractures.- Proximal Third Tibia Fracture treated with Intramedullary Nailing.- Proximal Tibia Fracture Treated with Plate and Screws.- Mid Shaft Tibia Shaft Fracture Treated with Intra-medullary Nail (IMN).- Tibia Shaft Distal Third: Treatment with an Intramedullary Nail.- Distal Tibia Shaft Fracture Treated with Plate Fixation.- Tibia Shaft Fractures of the Distal Third Treated with Plate Fixation of Tibia and Fibula.- Section 3. Treatment of Open Tibia fractures.- Open Tibia fractures: Staged treatment.- Open Tibial Fracture with Immediate Fixation and Early Soft Tissue Coverage.- Section 4: Treatment of Distal tibia articular fractures.- Distal Tibia Pilon: Staged Fixation with an Anterolateral Plate.- Distal tibial pilon fracture: Delayed Treatment and Dual Incision Approach.- Treatment of Pilon Fracture in External Fixator.- Distal Tibia Pilon: Staged Fixation – Fibula Fixation and then Tibia.- Section 5: Treatment of Nonunion and mal-union of tibia fractures.- Nonunion Tibia Shaft treated with IMN/Bone Grafting.- Treatment of Tibia Malunion with Circular External Fixation.- Technique of Masquelet Bone Grafting.- Modified Clamshell Osteotomy for Treating Acute Tibial Shaft Fracture with Pre-existent Malunion.
Nirmal C. Tejwani, MD, Professor, Department of Orthopedics, NYU Langone Medical Center, Hospital for Joint Diseases, Chief of Orthopedic Trauma, Bellevue Hospital, New York, NY, USA