Tibial Shaft Fracture

Published results showed 10.5% of patients who underwent surgery for a tibial shaft fracture between January 2016 and June 2020 had prolonged opioid use, with an increased risk for patients who used opioids preoperatively.

WAILEA, Hawaii — At Orthopedics Today Hawaii, Cory A. Collinge, MD, shared tips for nailing tibia shaft fractures.

KOLOA, Hawaii — In this video from Orthopedics Today Hawaii, Daniel S. Horowitz, MD, offered some tips and tricks for semi-extended nailing in patients with tibial shaft fractures.

A 75-year-old man presented to the ED with left ankle pain after a low-speed fall off a motorcycle that resulted in a twisting injury to his left leg.

High-energy etiology, Gustilo-Anderson class IIIA injury, lack of cortical continuity and early postoperative complications, such as infection, are significant predictors of nonunion in diaphyseal tibia fractures, according to results.

Data presented showed return-to-sport time and anterior knee pain were improved when surgeons used a novel transverse medial parapatellar incision for intramedullary nailing of tibial shaft fractures.

Vitamin D3 supplementation showed no improvement in clinical or radiographic fracture healing in adult patients who underwent intramedullary nailing for a tibial or femoral shaft fracture, according to presented results.

A 54-year-old man with a history of depression, post-traumatic stress disorder, bipolar 1 disorder and IV drug use presented to the ED with 2 weeks of slowly worsening right knee/leg pain and difficulty bearing weight.

Compared with a standard technique guide, virtual reality improved procedural accuracy and completion proportion for orthopedic residents training to insert an intramedullary tibial nail into synthetic bone, according to published results.

Use of NSAIDs increased nonunion rates in patients with operative fixation of humeral shaft, tibial shaft and subtrochanteric femur fractures, according to published results.