JBJS | Treatment of Closed Tibial Fractures

The Journal of Bone & Joint Surgery, Volume 85, Issue 2

Instructional Course Lecture | February 01, 2003

Treatment of Closed Tibial Fractures

Andrew H Schmidt, MD; Christopher G. Finkemeier, MD, MBA; Paul TornettaIII, MD

The Journal of Bone & Joint Surgery. 2003; 85:352-368

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Extract

Closed tibial shaft fractures are the most common long-bone fractures, resulting in approximately 77,000 hospitalizations, 569,000 hospital days (average length of stay, 7.4 days), and 825,000 office visits per year ¹ . Closed tibial shaft fractures in young patients are most commonly sport-related injuries, whereas simple falls cause most of the closed tibial shaft fractures in the elderly. The fracture pattern of closed tibial fractures is usually simple, with less severe soft-tissue injury than is seen with open tibial shaft fractures ² . The more complex fracture configurations are frequently seen in older, less fit patients with osteoporotic bone ² .

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Topics

fracture ; tibial fractures ; tibia ; intramedullary rods ; tibial shaft ; casts, surgical ; bone nails ; external fixation devices

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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