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Proximal Fibula Fracture

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1. Managing the Endosteal Fibula During Arthroplasty for Proximal Humeral Fracture Sequelae. (PubMed)

Managing the Endosteal Fibula During Arthroplasty for Proximal Humeral Fracture Sequelae. Augmentation of proximal humeral fracture fixation with an endosteal fibular allograft has increased in popularity because it biomechanically improves construct stability and potentially may lead to a lower rate of humeral head collapse. However, the potential need for arthroplasty after proximal humeral fracture fixation may still arise. Placing a humeral stem in the presence of an existing intramedullary (...) fibular graft is challenging because the fibula is dense cortical bone and is typically well-integrated by the time an arthroplasty would be performed. Some have proposed burring the proximal humerus open to receive a stem, or using cannulated intramedullary reamers until a humeral stem can be placed. These steps are tedious and inefficient. We have found the most efficient technique as treating the fibula as if it were a well-fixed humeral stem: freeing it up from the native bone and removing

2019 Journal of Orthopaedic Trauma

2. Ipsilateral stress fracture of the proximal fibula after total knee arthroplasty in a patient with severe valgus knee deformity on a background of Rheumatoid arthritis (Full text)

Ipsilateral stress fracture of the proximal fibula after total knee arthroplasty in a patient with severe valgus knee deformity on a background of Rheumatoid arthritis Previous studies have reported a lower extremity stress fracture after total knee arthroplasty (TKA). However, a fibular fracture after TKA is quite rare. We report a case of proximal fibula fracture after TKA in a patient with rheumatoid arthritis (RA).A 45 year old woman with RA had severe knee and foot pain with an antalgic (...) change in clinical outcome/course is outlined in this case report.A stress fracture of the proximal fibula has the potential in the aetiology of may cause other stress fractures, joint other instability, and/or malalignment of the total lower extremity.Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

2018 International journal of surgery case reports PubMed

3. Stress fracture of the proximal fibula after total knee arthroplasty (Full text)

Stress fracture of the proximal fibula after total knee arthroplasty We report a rare case of proximal fibular fatigue fracture developing 14 years after total knee arthroplasty in a known case of rheumatoid arthritis. A valgus deformity of the knee can put abnormal stress on the upper fibula leading to its failure. We believe that, as the fibula acts as an important lateral strut, its disruption due to a fracture led to rapid progress of the valgus deformity of the knee in this patient.2016

2016 BMJ case reports PubMed

4. Proximal Fibula Fracture

Proximal Fibula Fracture Proximal Fibula Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Proximal Fibula Fracture Proximal (...) Fibula Fracture Aka: Proximal Fibula Fracture , Fibular Head Fracture From Related Chapters II. Causes Direct blow to fibula Maisonneuve (associated with or ) III. Exam Evaluate for peroneal nerve injury (dorsal foot and first web space sensation, ankle dorsiflexion) Evaluate for knee instability Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Proximal Fibula Fracture." Click on the image (or right click) to open the source

2018 FP Notebook

5. Operative Treatment of the Malunited Fibula Fracture. (PubMed)

Operative Treatment of the Malunited Fibula Fracture. Failure to anatomically reduce and stabilize the fractured distal fibula can result in malunion of the fibula and malreduction of the ankle mortise. Fibular malunion results in altered ankle joint biomechanics which often leads to the development of pain, stiffness, and premature joint degeneration. Fortunately, many fibular malunions can be successfully salvaged using osteotomy techniques to restore anatomic fibular length and rotation (...) . Different osteotomy techniques are indicated depending on the location and characteristics of the malunion. In this review, the oblique fibular osteotomy is described for the reconstruction of SER-type fibular fractures. For more proximal fibular malunion, the transverse osteotomy technique with lengthening and structural bone graft is reviewed.Level V, expert opinion.

2018 Foot & Ankle International

6. Distal Fibula Fractures in National Football League Athletes (Full text)

and combined fracture patterns. Stress fractures and proximal fibula fractures were excluded. Epidemiological data and rates of surgery were determined. Return to sport was calculated and stratified by injury pattern and management.Overall, 237 distal fibula fractures in NFL athletes from 2000 to 2014 were included; 197 (83%) were isolated distal fibula fractures. A mean of 16 distal fibula fractures occurred each year (median, 16 per year). Fractures occurred most frequently on running (38%) and passing (...) Distal Fibula Fractures in National Football League Athletes Despite the frequency of distal fibula fractures in elite athletes and the significant potential impact on the athletes' season and future careers, little data exist characterizing the epidemiology of these injuries or, more importantly, return to competition.To (1) evaluate the incidence of acute distal fibula fractures in National Football League (NFL) athletes, including isolated distal fibula and combined ankle fracture patterns

2017 Orthopaedic journal of sports medicine PubMed

7. Intramedullary allograft fibula as a reduction and fixation tool for treatment of complex proximal humerus fractures with diaphyseal extension. (PubMed)

Intramedullary allograft fibula as a reduction and fixation tool for treatment of complex proximal humerus fractures with diaphyseal extension. In this study, we present a novel technique for reduction and fixation of complex, unstable proximal humerus fractures with diaphyseal extension with the assistance of fibula allograft. We treated 14 patients using this technique since 2009 and found that it improves the reduction and enhances fixation while making the surgical procedure technically (...) more manageable, and allows for early postoperative motion. In the first part of this study, we describe in detail the indications and surgical technique applied to these fractures. In the second part, we review the clinical and radiographic outcomes of these patients. Using this new technique, we have achieved an excellent union rate with minimal incidence of complications when treating these challenging fractures.

2014 Journal of Orthopaedic Trauma

8. Ultrasound-Guided Femoral and Sciatic Nerve Blocks for Repair of Tibia and Fibula Fractures in a Bennett's Wallaby (Macropus rufogriseus) (Full text)

Ultrasound-Guided Femoral and Sciatic Nerve Blocks for Repair of Tibia and Fibula Fractures in a Bennett's Wallaby (Macropus rufogriseus) Locoregional anesthetic techniques may be a very useful tool for the anesthetic management of wallabies with injuries of the pelvic limbs and may help to prevent capture myopathies resulting from stress and systemic opioids' administration. This report describes the use of ultrasound-guided femoral and sciatic nerve blocks in Bennett's wallaby (Macropus (...) rufogriseus) referred for orthopaedic surgery. Ultrasound-guided femoral and sciatic nerve blocks were attempted at the femoral triangle and proximal thigh level, respectively. Whilst the sciatic nerve could be easily visualised, the femoral nerve could not be readily identified. Only the sciatic nerve was therefore blocked with ropivacaine, and methadone was administered as rescue analgesic. The ultrasound images were stored and sent for external review. Anesthesia and recovery were uneventful

2016 Case reports in anesthesiology PubMed

9. Fibula Stress Fracture

Fracture Aka: Fibula Stress Fracture From Related Chapters II. Location Distal third most commonly affected III. Differential Diagnosis Lateral Proximal Biceps Peroneal nerve entrapment IV. Management See for conservative therapy Surgery is rarely indicated V. Course Average return to sport time: 6 weeks Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Fibula Stress Fracture." Click on the image (or right click) to open the source (...) Fibula Stress Fracture Fibula Stress Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fibula Stress Fracture Fibula Stress

2018 FP Notebook

10. Radiographic and clinical comparisons of distal tibia shaft fractures (4 to 11 cm proximal to the plafond): plating versus intramedullary nailing. (PubMed)

between 4 and 11 cm proximal to the plafond. Seventy-six were treated with an intramedullary nail and 37 were treated with a medial plate. Twenty-nine (27%) of the concomitant fibula fractures were fixed.Complications and secondary procedures were evaluated in 111 patients after a mean of 24 months (range, 12-84 months).A total of 111 patients with 113 fractures of the distal tibia were reviewed. Their mean age was 39.1 years, 69% were men, and 30% had open fractures. Four patients underwent (...) Radiographic and clinical comparisons of distal tibia shaft fractures (4 to 11 cm proximal to the plafond): plating versus intramedullary nailing. The purposes of this study were to review distal tibia shaft fractures treated with a plate or a nail and to assess the clinical and radiographic results, complication rates, and the need for secondary procedures.Retrospective review.Two Level I trauma centers.We retrospectively reviewed 111 patients with 113 extra-articular distal tibia fractures

2017 Journal of Orthopaedic Trauma

11. Novel "double-strut" fibula ankle arthrodesis for large tumor-related bone defect of distal tibia. (PubMed)

reviewed. We assessed the bone union time, complications and oncology outcome clinically and radiographically. The Musculoskeletal Tumor Society (MSTS) score and the Foot and Ankle Outcome Score (FAOS) were used to evaluate the functional outcome.The average followup period was 53 ± 46 months. There was no deep infection or graft fracture observed in this series. Internal fixation loosening was found in one case. In these patients, eight achieved union at both proximal and distal junctions, while one (...) Novel "double-strut" fibula ankle arthrodesis for large tumor-related bone defect of distal tibia. Reconstruction for large bone defect of distal tibia after wide resection of tumor is difficult, and the best option remains controversial. This study presents a novel "double-strut" fibula ankle arthrodesis for this issue.Nine patients with malignant or aggressive tumors of distal tibia underwent novel "double-strut" fibula ankle arthrodesis after wide tumor resection were retrospectively

2019 BMC Musculoskeletal Disorders

12. Intramedullary Allograft Fibula as a Reduction and Fixation Tool for Treatment of Complex Proximal Humerus Fractures with Diaphyseal Extension. (PubMed)

Intramedullary Allograft Fibula as a Reduction and Fixation Tool for Treatment of Complex Proximal Humerus Fractures with Diaphyseal Extension.

2013 Journal of Orthopaedic Trauma

13. OPTIMISING LONG-TERM OUTCOMES AND AVOIDING FAILURE WITH THE FIBULA INTRAMEDULLARY NAIL. (PubMed)

OPTIMISING LONG-TERM OUTCOMES AND AVOIDING FAILURE WITH THE FIBULA INTRAMEDULLARY NAIL. To identify risk factors for fixation failure, report patient outcomes and advise on modifications to the surgical technique for fibula nail stabilisation of unstable ankle fractures.Retrospective review.Academic orthopaedic trauma unit.All 342 patients were identified retrospectively from a prospectively collected single-centre trauma database over a nine-year period.Unstable ankle fractures managed (...) and five were due to inadequate fracture reduction or poor nail placement. Proximal locking screw (PLS) pull-out was the cause of all device failures. Positioning the PLS >20mm above the plafond significantly increased failure risk (p=0.003). At a mean follow-up of 5.1 years (range, 8 months - 8 years) the median OMAS and MOXFQ were 80 (interquartile range, 45) and 10.94 (interquartile range, 44.00) respectively. Patient outcome was not negatively affected by the requirement for revision surgery.The

2018 Journal of Orthopaedic Trauma

14. Proximal tibiofibular joint dislocation associated with tibial shaft fractures - 7 Cases. (PubMed)

Proximal tibiofibular joint dislocation associated with tibial shaft fractures - 7 Cases. Lower leg fractures of the tibia with or without fracture of the fibula are very common. Proximal tibiofibular joint (PTFJ) dislocation is a very rare injury that can occur together with a tibia shaft fracture. As there is only scarce literature about this injury available, we would like to present our experience with the treatment of this entity.We present a small case series of seven patients. In most (...) cases, the tibia fracture was nailed in a closed technique. After distal locking the proximal fibula was exposed by a lateral approach exposing and preserving the peroneal nerve. After anatomical reduction into the corresponding articular facet of the proximal tibia, the fibula was transfixed to the tibia with a positioning screw. This indirectly provided a correct length and rotation of the tibia, which could finally be locked to the nail by inserting the proximal locking bolts. The positioning

2016 Injury

15. Proximal Fibula Fracture

Proximal Fibula Fracture Proximal Fibula Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Proximal Fibula Fracture Proximal (...) Fibula Fracture Aka: Proximal Fibula Fracture , Fibular Head Fracture From Related Chapters II. Causes Direct blow to fibula Maisonneuve (associated with or ) III. Exam Evaluate for peroneal nerve injury (dorsal foot and first web space sensation, ankle dorsiflexion) Evaluate for knee instability Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Proximal Fibula Fracture." Click on the image (or right click) to open the source

2015 FP Notebook

16. The Proximal Fibula Should Be Examined In All Patients with Ankle Injury: A Case Series of Missed Maisonneuve Fractures. (PubMed)

The Proximal Fibula Should Be Examined In All Patients with Ankle Injury: A Case Series of Missed Maisonneuve Fractures. The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula. It occurs from violent twisting of the ankle that characteristically causes ligament damage and severe instability. Most patients complain of significant ankle pain but very little pain over the fracture. The clinical and radiographic examination is usually directed to the ankle region (...) ; and the proximal fibula is often ignored.The authors intend to show the ease of missing the proximal fibular fracture when the clinical examination is directed to the ankle region. They discuss the importance of palpating the proximal fibula and ordering appropriate radiographs.The authors report on 5 patients who presented to the Emergency Department, where the Maisonneuve fracture was missed despite having ankle radiographs taken. All patients required open reduction and internal fixation.The Maisonneuve

2012 Journal of Emergency Medicine

17. Incidence, Predictors and Fracture Mapping of (Occult) Posterior Malleolar Fractures Associated with Tibial Shaft Fractures. (PubMed)

%), increasing to one-in-two in patients with simple spiral fractures (56%). In 25% these fractures were occult.Univariate analysis identified simple spiral and distal third TSFs, proximal third and spiral fibula fractures, and low energy trauma as predictors for PMFs. Multivariate analysis demonstrated that distal third and simple spiral TSFs were the only independent predictors.Haraguchi Type I is the pattern specific to PMFs associated with TSF.Half of patients presenting with a simple spiral TSF have (...) Incidence, Predictors and Fracture Mapping of (Occult) Posterior Malleolar Fractures Associated with Tibial Shaft Fractures. 1) Evaluate the incidence of posterior malleolar fractures (PMF) in patients with tibial shaft fractures (TSF) using advanced imaging; 2) identify predictors for patients at risk for an (occult) PMF; and 3) describe PMF characteristics to guide "malleolus-first" fixation.Retrospective diagnostic imaging study.Level-I trauma centre.One-hundred sixty-four patients treated

2019 Journal of Orthopaedic Trauma

18. Vascularized Fibula-Based Physis Transfer: A Follow-Up Study of Longitudinal Bone Growth and Complications (Full text)

Vascularized Fibula-Based Physis Transfer: A Follow-Up Study of Longitudinal Bone Growth and Complications The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection of the proximal humerus in pediatric sarcoma patients. The purpose of this study was to provide a long-term follow-up of longitudinal growth patterns and outcomes after free fibula epiphyseal transfer in upper extremity reconstruction.A retrospective review of 4 (...) patients who underwent free fibula epiphyseal transfer after oncologic resection of the proximal humerus for osteosarcoma was performed. Oncologic details that could affect outcomes were included in the review: primary tumor pathology, location of malignancy, and presence of recurrence. Details on the reconstruction included longitudinal growth of the flap from the time of implantation to the most recently available radiograph and postoperative complications. The length of the fibula over time

2017 Plastic and Reconstructive Surgery Global Open PubMed

19. Long bone fracture

Long bone fracture Long bone fracture - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Long bone fracture Last reviewed: February 2019 Last updated: July 2018 Summary This monograph covers long bone fractures and includes fractures of the humerus, radius, ulna, femur, tibia, and fibula. Acute fractures usually have a dramatic presentation, whereas stress fractures often present more subtly. Acute fractures in older (...) , radius, ulna, femur, tibia, and fibula. This monograph focuses on extra-articular fractures (i.e., fractures that do not extend into a joint). History and exam presence of risk factors pain soft tissue swelling ecchymosis expanding haematoma impaired limb function inability to bear weight point tenderness deformity guarding wound overlying site of injury signs of ischaemic limb hypotension/hypovolaemic shock altered nerve sensation impaired motor function bony crepitus callus reproduction of symptoms

2018 BMJ Best Practice

20. Ankle fractures

' heard on fall ankle deformity crepitus tenderness of the proximal fibula tenting of the skin over the medial malleolus Ottawa ankle rules hx osteoporosis hx frequent falls vascular compromise osteoporosis multiple falls low-energy fall inversion injury to ankle playing sports Diagnostic investigations plain x-ray plain x-ray 'stress view' CT MRI Treatment algorithm INITIAL ACUTE Contributors Authors Resident Orthopaedic Surgery OLVG Amsterdam The Netherlands Disclosures ESV declares that he has (...) Ankle fractures Ankle fractures - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Ankle fractures Last reviewed: February 2019 Last updated: June 2018 Summary Commonly a low-energy fracture of either the lateral or medial malleolus, or both, and can include a fracture of the posterior malleolus. May be associated with a dislocation of the ankle joint. Can be associated with a disruption of the tibiofibular syndesmosis

2018 BMJ Best Practice

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