Tibial shaft #

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The flashcards below were created by user dcc77 on FreezingBlue Flashcards.


  1. Tibia shaft fracture indication conservative mgmt 5

    technique
    • -Closed low energy fracture
    • -<5 degrees varus/valgus alignment
    • -<10 degrees ant/post angulation
    • ->50% cortical apposition
    • -<1cm shortening
    • -<10 degrees rotational malaligment

    Long leg cast, coonvert to patellar tendon bearing brace at 4 weeks
  2. Tibial shaft indication for nail 8
    • -Unacceptable alignment
    • -Soft tissue injury not conductive to casting
    • -Segmental #
    • -Comminuted #
    • -Floating knee
    • -Bilateral tibia #
    • -Morbid obesity
    • -Polytrauma
  3. Tibia nail contraindications
    • TKA or previous ORIF
    • Pre existing tibial deformity
  4. Tibia nail reamed vs unreamed
    • SPRINT trial
    • -Reamed superior in closed # for need of future grafting/implant exchange

    recent studies > no adverse effects of remed
  5. Tibial shaft fracture percutaneous plate vs IMN 5
    • -Equivalent time to union
    • -Greater radiation exposure
    • -Longer surgical duration
    • -Lower post op pain scores
    • -More difficult HWR
  6. Tibial shaft fracture risk for non union 3
    • Gapping at # site
    • Transverse #
    • Open #
  7. Tibial shaft fracture reduction techniques 5
    • Femoral distractor
    • Unicortical plate
    • Blocking screws
    • Clamps
    • External fixator
  8. Tibia shaft fracture complications 6
    • Compartment syndrome
    • Malunion: Valgus/procarvatum
    • Knee pain: 50%
    • Non Union: treat with exchange nail or compression plating +/1 posterlateral bone graft
    • Malrotation
    • Nerve injury: sup peroneal in liss plate
  9. tibial shaft fractures: use of tourniquet leads to
    Increased post op pulmonary complications
  10. Tibial shaft fracture with increased risk of varus malunion
    Shaft with intact fibula
  11. Transient peroneal neuropraxia physical exam finding
    Weak EHL
  12. Location of superficial peroneal nerve with respect to tibia liss plate
    around hole 11-13

Card Set Information

Author:
dcc77
ID:
334045
Filename:
Tibial shaft #
Updated:
2017-09-13 05:47:23
Tags:
Trauma tibia shaft
Folders:

Description:
Orthobullets
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