Plateaus, shafts and pilons: principles of tibial fractures

An important principle in fracture management, whose underappreciation still commonly prevails, is that due consideration is warranted to traumatized soft tissues, perhaps more of a primary concern than even the bony element of the injury. This philosophy is most exemplified in lower limb injuries; the majority of adult tibial fractures arise from high energy aetiology that results in compromised viability of skin, muscle and periosteum. Often, this is not immediately apparent, and in any case necessitates thought from attending clinicians.
Source: Surgery (Medicine Publishing) - Category: Surgery Authors: Tags: Orthopaedics IV: lower limb Source Type: research
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