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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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  ORTHOPEDIC TRAUMA UPDATE PART II


Minerva Ortopedica e Traumatologica 2009 December;60(6):527-40

language: English

Surgical fixation of extra-articular tibia fractures: tips and tricks

Flierl M. A. 1, Stahel P. F. 1-2, Morgan S. J. 1

1 Department of Orthopedic Surgery, Denver Health Medical Center, University of Colorado Denver, School of Medicine, Denver, CO, USA
2 Department of Neurosurgery, University of Colorado Denver, School of Medicine, Denver, CO, USA


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Tibial fractures commonly occur in young adults under 40 years of age, mainly due to direct impact mechanisms. Surgical fixation of proximal and distal diaphyseal tibia fractures can be technically challenging. A thorough understanding of the extent of soft tissue damage, fracture characteristics and the deforming forces, and of the advantages and disadvantages of available implants are paramount to successful treatment. The aim of the present review was to address the pertinent literature on extra-articular tibial shaft fractures, surgical management options, their associated pitfalls, and provide technical tips and tricks on how to avoid adverse outcomes.

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