Problems associated with tibial fractures with intact fibulae.

摘要: Of twenty-three patients more than twenty years old who were treated for a tibial shaft fracture without concomitant fibular fracture, six (26 per cent) had delayed union or non-union and varus malunion of the fractured tibia. Pain roentgenographic changes developed in ipsilateral ankle within two injury these with malunion. forty-five less similar fractures, one twelve (27 was observed In addition, bent fibula thirteen incurred their fractures when they but no at time fracture. Clinical observations corroborated by biomechanical studies on an experimental model. These suggested that remains intact, tibiofibular length discrepancy develops causes altered strain patterns tibia fibula. may lead to union, non-union, sequelae joint disturbances. The lower incidence complications be due greater compliance fibulae soft tissues.