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Fractures du tibia
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Fractures tibialesRelation(s)
- voir aussi au terme générique : [Descripteurs (mots clés)] Fractures osseuses
- voir aussi au terme générique : [Descripteurs (mots clés)] Traumatismes de la jambe
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Effectiveness of diagnosis and treatment of spiral fracture of the distal third of the tibia combined with posterior malleolus fracture / Qun Chen in Journal of the American Podiatric Medical Association, vol. 108, 2 (Mars-avril 2018)
[article]
in Journal of the American Podiatric Medical Association > vol. 108, 2 (Mars-avril 2018) . - p. 106-114
Titre : Effectiveness of diagnosis and treatment of spiral fracture of the distal third of the tibia combined with posterior malleolus fracture Type de document : article de périodique Auteurs : Qun Chen ; [et al.] Année de publication : 2018 Article en page(s) : p. 106-114 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / diagnostic
[Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / thérapie
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Fractures du tibiaMots-clés : tibial fractures prevention diagnosis ankle fractures Résumé : Background: Spiral fractures of the tibia are often the result of torsion trauma. In clinical practice, this type of fracture is frequently complicated by posterior malleolus fractures. This study aimed to observe the effectiveness of diagnosis and treatment of these fractures in a single hospital in China. Posterior malleolus fractures are sometimes occult, occurring alongside spiral fractures of the distal third of the tibia; posttraumatic arthritis can result if they are missed.
Methods: This study includes 128 consecutive patients with tibia fractures between May 1, 2008, and April 30, 2012. Patients in the early study period underwent radiography only, and subsequent patients underwent both radiography and computed tomography (CT). The causes of the fractures were evaluated. Intramedullar nailing was performed for the tibia fractures. Percutaneous cannulated screw fixation was used for the posterior malleolus fractures. Patients were followed up for a minimum of 3 months.
Results: Twenty-eight patients had spiral fractures of the mid-distal third of the tibia. Ten of the 28 patients were complicated by posterior malleolus fractures. Diagnosis was initially missed in one early patient who underwent radiography only. Three cases of posterior malleolus fractures were identified by radiography. A CT was performed in all ten patients and showed that approximately 25% to 50% of the ankle joint surface of posterior malleolus fractures was involved. One early diagnosis was missed that had a displaced posterior malleolus fracture after intramedullary nailing. Using CT as the gold standard, radiography had sensitivity of 33.3%, specificity of 100.0%, positive predictive value of 100%, and negative predictive value of 73.9%. All correctly diagnosed patients healed well, without ankle pain.
Conclusions: Computed tomography helped identify most posterior malleolus fractures, and radiography alone might miss it. Intramedullary nailing and posterior malleolus screw fixation were straightforward and effective treatments.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Fibula-Only Fixation for a Very Distal Tibia-Fibula Fracture: A Case Report / Sriram Sankaranarayanan in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Fibula-Only Fixation for a Very Distal Tibia-Fibula Fracture: A Case Report Type de document : article de périodique Auteurs : Sriram Sankaranarayanan ; Chandrakanth Boddu Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Arthroplastie
[Thésaurus Mesh]Fibula
[Thésaurus Mesh]Fractures du tibia
[Thésaurus Mesh]Fractures fermées
[Thésaurus Mesh]Procédures de chirurgie opératoireRésumé : A 70-year-old patient with multiple medical problems presented to us with displaced closed very distal tibia and fibula fractures and a prior total knee replacement on the affected extremity. We treated the patient with an isolated fibula open reduction and internal fixation. At a 1-year follow-up, both the tibial and fibular fractures had healed, and the patient had an excellent outcome. “Fibula-only” fixation of very distal tibia-fibula fractures appears to be a viable option to manage these difficult fractures. The novelty of the case report lies in that this technique has not been described previously in the literature. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Mid-term results of minimally invasive plate osteosynthesis and circular external fixation in the treatment of complex distal tibia fractures / Yunus Imren in Journal of the American Podiatric Medical Association, vol. 107, 1 (Janvier-février 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 1 (Janvier-février 2017) . - p. 3-10
Titre : Mid-term results of minimally invasive plate osteosynthesis and circular external fixation in the treatment of complex distal tibia fractures Type de document : article de périodique Auteurs : Yunus Imren ; [et al.] Année de publication : 2017 Article en page(s) : p. 3-10 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / chirurgie
[Thésaurus Mesh]Fixateurs externes
[Thésaurus Mesh]Fractures du tibia
[Thésaurus HELB]:Paramédical:Fractures distalesRésumé : Background: The treatment of pilon tibia fractures is challenging. Anatomical reduction of the joint surface is essential. Excessive soft-tissue dissection may interfere with the blood supply and can result in nonunion. We sought to compare the outcomes of distal tibia fractures treated with medial locking plates versus circular external fixators. Methods: We retrospectively evaluated 41 consecutive patients with closed pilon tibia fractures treated with either minimally invasive locking plate osteosynthesis (n ¼ 21) or external fixation (EF) (n ¼ 20). According to the Ruedi and Allgower classification, 23 fractures were type B and 18 were type C. Soft-tissue injury was evaluated according to the Oestern and Tscherne classification. Time to fracture union, complications, and functional outcomes were assessed annually for 3 years with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score. Results: Mean 6 SD values in the plate group were as follows: age, 42.4 6 14 years; union time, 19.4 6 2.89 weeks (range, 12–26 weeks); and AOFAS ankle scores, 86.4 6 2.06, 79.5 6 1.03, and 77.9 6 0.80 at 1, 2, and 3 years, respectively. Four patients in the plate group needed secondary bone grafting during follow-up. In the EF group (mean 6 SD age, 40.7 6 12.3 years), all of the patients achieved union without secondary bone grafting at a mean 6 SD of 22.1 6 1.7 weeks (range, 18–24 weeks). In the EF group, mean 6 SD AOFAS ankle scores were 86.6 6 1.69, 82.1 6 0.77, and 79.7 6 1.06 at 1, 2, and 3 years, respectively. There were no major complications. However, there were soft-tissue infections over the medial malleolus in five patients in the plate group and grade 1-2 pin-tract infections in 13 patients and grade 3 pin-tract infections in one patient in the EF group. Post-traumatic arthritis was detected in eight plate group patients and seven EF group patients. Conclusions: Minimally invasive plating and circular EF methods have favorable union rates with fewer complications Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Mise au point sur la prise en charge des fractures des épines tibiales : réinsertion en speed bridge / Alain Meyer in Kinésithérapie scientifique, 590 (Septembre 2017)
[article]
in Kinésithérapie scientifique > 590 (Septembre 2017) . - p.5-9
Titre : Mise au point sur la prise en charge des fractures des épines tibiales : réinsertion en speed bridge Type de document : article de périodique Auteurs : Alain Meyer ; Olivier Grimaud Année de publication : 2017 Article en page(s) : p.5-9 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Arthroscopie
[Thésaurus Mesh]Fractures du tibia
[Thésaurus Mesh]Ligament croisé antérieurRésumé : Les fractures des épines tibiales sont plus fréquentes chez les enfants mais peuvent survenir chez l’adulte. Les mécanismes les plus fréquents sont le traumatisme direct sur le genou ou une décélération [1].
La classification la plus populaire est celle proposée par Meyers et McKeever [2] (fig. 1), complétée par Zaricznyj [3] :
– les types I sont les fractures non déplacées ;
– les types II montrent un déplacement proximal de la partie antérieure du fragment ;
– les types III sont définis par un déplacement complet du fragment ;
– les types IV sont des types III comminutifs.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité K Périodique Erasme - périodiques Périodiques Disponible Partial Excision of a Tibial Sesamoid Fracture Nonunion in a Patient with Congenital Absence of Fibular Sesamoid A Case Study / Bryanna Vesely in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 02 (Mars 2023)
Titre : Partial Excision of a Tibial Sesamoid Fracture Nonunion in a Patient with Congenital Absence of Fibular Sesamoid A Case Study Type de document : article de périodique Auteurs : Bryanna Vesely ; Rebecca R. Sikora ; Dekarlos Dial Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Chirurgie
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Fractures du tibiaMots-clés : sésamoïde fibulaire absence congénitale du sésamoïde fibulaire excision partielle du sésamoïde tibial Résumé : Background: Hallucal sesamoid injuries occur in approximately 5% to 10% of foot and ankle injuries. Most cases can be treated conservatively. However, when nonoperative management fails, surgical intervention is warranted. Methods: The present case involved a 17-year-old female high school senior who presented to the clinic with right hallux pain. Radiographs were obtained and revealed congenital absence of the fibular sesamoid and evidence of a minimally displaced avulsion fracture involving the proximal medial tibial sesamoid. Treatment was complicated by the congenital absence of the fibular sesamoid and by a high activity level. Results: After conservative treatment failure, the patient underwent partial excision of her tibial sesamoid. She was followed for 1.5 years after initial presentation to our clinic. The patient was able to return to daily activities; however, she was not able to return to softball competitively due to pain. Conclusions: We hypothesize she was unable to return to softball because the absence of a sesamoid can decrease push-off strength. We recommend that providers treating athletes educate their patients on the possible loss of strength and take this into account when creating a treatment plan. Note de contenu :
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Post-traumatic acute hallux valgus : a case report / S. Johal in The Foot, vol.20, 02,03 (Juin 2010)
PermalinkSearching for a New Parameter in the Healing of Tibia Pilon Fractures Fracture Area Measurement / Batuhan Gencer in Journal of the American Podiatric Medical Association, vol. 112, 04 (Juillet 2022)
PermalinkSimultaneous bilateral stress fractures in a homemaker : a case report and literature review / Sohail Yousaf in Journal of the American Podiatric Medical Association, vol.104, 5 (Septembre 2014)
PermalinkSuivi clinique et isocinétique à 2 ans d'une fracture-arrachement de la tubérosité tibiale antérieure associée à une désinsertion basse du tendon patellaire chez un adolescent / A. Baly in Journal de traumatologie du sport, vol. 34, 2 (Juin-Aout 2017)
PermalinkTibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing : A Report of Two Cases / Nicholas S Powers in Journal of the American Podiatric Medical Association, vol. 110, 03 (Mai-juin 2020)
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