Surgeons have been grappling with the problem of severe lower extremity injuries for more than a century. This author, Dr. Matthew L. Jiminez, Illinois Bone and Joint Institute, presented a review of the literature, decision-making process, and scoring systems for complex lower extremity injuries at the second annual Chicago Trauma Symposium, June 23-25, 2000.

Medscape 2000 Locking and Poller Screws For fractures located in the metaphysis of the proximal or distal tibia, intramedullary nailing achieves less fracture site stability than nailing of diaphyseal fractures. This is caused by the decreased contact between the nail and the endosteal surface of the tibia. This, in turn, places more stress on the interlocking bolts adjacent to the fracture. Inserting screws, which contact the nail, is a method used to increase the stability of the nail-bone construct. These screws work by decreasing the effective diameter of the intramedullary canal and block translation of the bone on the interlocking screws

Treatment of low energy tibial shaft fractures: Plaster cast vs Intramedullary nailing. Thesis 2001 University of Tampere, Finland

OTA 2002 - Session 3 Session III - Polytrauma Fri., 10/11/02 Polytrauma, Paper #15, 3:50 PM Management of Open Fractures of the Lower Extremity: Do Timing of Operative Treatment and Primary Wound Closure Really Matter? Michael T. Rohmiller, MD ; Sharat Kusuma, BS, MBA; Gordon M. Blanchard, MD; John R. Edwards, MD; Mark P. McAndrew, MD; Marcus F. Sciadini, MD; Kenneth D. Johnson, MD; Vanderbilt University Medical Center, Nashville, Tennessee, USA

Medscape 2000

OTA Paper 1998

Medscape Abstract 2000

Plating Of Displaced Mid-Tibial Fractures - A Retrospective Review Of 80 Cases S Singh, K C Ng, P Chia Singapore Medical Journal ABSTRACT We present a 2-year retrospective review and study of 80 patients admitted to our department with displaced mid-tibial fractures and treated by plate-fixation. This review paid particular attention to various complications that arose post-operatively. The incidence of post-operative complications was 22.5%, with one death. The main complications were infections and refractures. Among those infected, there were no cases of osteomyelitis. We did not find a statistically significant difference in infection rates between the closed and open grades of fractures. We conclude that plate fixation of mid-tibial fractures is comparable with other modalities of treatment

A Retrospective Review Of 80 Cases Singapore Medical Journal

OTA Paper 2004: Does Digital Radiography Contribute to a More Accurate Measurement?

Medscape 2000

OTA paper 1998

Medscape (2000)

OTA paper 1998

OTA e-Poster 2001