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Anterior-posterior tibia-fibular intra-operative radiographs of irrigation and debridement with concomitant flexible nailing of the tibial shaft.

Anterior-posterior tibia-fibular intra-operative radiographs of irrigation and debridement with concomitant flexible nailing of the tibial shaft.

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Tibial shaft fractures have a relatively high incidence in the pediatric population. There are numerous ways to address this trauma including external fixation, plate osteosynthesis, flexible nailing, and closed treatment with the selection of each modality depending on multiple factors, including fracture characteristics as well as potential adver...

Context in source publication

Context 1
... nails were cut proximally and tamped under the skin nearly flush with the bony cortex. Final fluoroscopic shots revealed the medial nail had perforated the distal tibial cortex (Figures 3, 4). The fracture was stable to stress intra-operatively, and the decision was made to not revise the medial nail or to fix the fibular fracture, due to the stability of the tibia under stress. ...

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Background Although most studies focused on the alignment or union of the tibia in same-level distal third tibiofibular fractures, the outcome of a concomitant fibular fracture is generally regarded as being of secondary importance in the literature. This study aimed to assess the outcomes of fibular fractures in same-level distal third tibiofibula...