Tibia and Fibula
(Subscribe)
Categories
Links
http://www.aaos.org/wordhtml/bulletin/malpract.htm
The Academy's Committee on Professional Liability has reviewed closed malpractice claims on the treatment of tibia fractures. The most common causes of suit were: nonunion, malunion, infection, leg length discrepancy, and skin injury. A surprisingly high number of the nonunion and malunion suits involved tibial plateau fractures. Vascular and compartment syndrome problems were infrequent, but they involved the largest payouts. Infection and skin injury were resolved with no indemnity payout.
Review It
Rate It
Bookmark It
http://www.orthopaedic.ed.ac.uk/poller.htm
Many proximal metaphyseal tibial fractures will become malaligned even if a lateral entry point is used. Malalignment in proximal tibial fractures is due to the use of improper nail entry sites and poor nail-to-bone contact in the metaphysis. The use of screws inserted in the sagittal plane that contact the nail can be used to improve alignment and stability. The term Poller is derived from the small devices put in roads to guide traffic. Screws known as Poller "blocking" screws can be very useful to overcome iatrogenic deformity.
Expert
Review It
Rate It
Bookmark It
Editors