Orthopedic Care and Consultation
A segmental fracture is a type of comminuted fracture where the comminuted piece has whole of the cortex intact
Segmental fracture Tibia With Intramedullary Nail In Situ
Above is an oblique xray of the segmental fracture of tibia showing in situ interlock nail. The fracture was treated by closed reduction and internal fixation.
Also noteworthy is associated fracture of fibula.
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Following xray belongs to 49 years old lady with fractures of tibia and fibula in lower third of the leg
Xray Showing United Fibula and Ununited Tibia Fractures
The xray shows a united fracture fibula whereas fracture of tibia is ununited. The xray was taken after 6 months of non operative treatment.
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This xray is one of the injuries that a 25 years old young male had. He was received a s a case of polytrauma following motor vehicle accident and had traumatic brain injury, chest injury, pelvis fracture that led to visceral injury, fracture of left tibia and knee dislocation as shown. Distal pulses on the affected limb were absent.
The xray in the picture shows a knee dislocation and long fracture of tibia.
AP view of knee showing fracture tibia with overlapped tibial plateau by femoral condyles suggestive of dislocation of knee
Lateral view confirms knee dislocation. [Read more...]
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43 years old mason met with an accident and had left tibial fracture lower end. Patient was treated with plating in the tibia.
7 months after the surgery, the patient presented with history of discharge and on removal of the dressing this was visible. Xrays are here
Tibial Plate Is Exposed - Also Visible Is Slight Discharge Trickling Down
Note the exposed plate through the sloughed tissue over the plate.
Xrays were done and bone was found to be united.
Patient was put on antibiotic therapy and was advised plate removal.
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A 33 years old male suffered trauma when he fell from motorbike. He had a closed fracture of lower third of tibia on right side. His xray after injury [Limb is splinted as you can see] showed a spiral fracture of tibia along with fracture of fibula of right side.
The patient was treated with open reduction and osteosynthesis using plate and screw. [Read more...]
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Following xray belongs to 33 years old lady who had an open fracture tibia grade III [Bone stripped of soft tissue cover] with closed fracture of fibula.
The patient was initially treated with wound debridement and external fixation with across the ankle fixator.
This xray was done after two months of application of the fixator and top two pins were found bent, a sign of imminent implant failure.
By that time, however skin wound had healed completely. Therefore, external fixator was removed and patient limb was splinted using a slab.
It was followed by internal fixation and bone grafting.
Popularity: 3% [?]
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