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Tibiofibula Transposition in High-Energy Fractures
Joint Authors
Loughenbury, Peter R.
Gledhill, Rebecca A.
Evans, Nick
Source
Case Reports in Emergency Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We report two cases of failed attempts at closed reduction of high-energy tibial fractures with an associated fibula fracture.
The first case was a 39-year-old male involved in high-speed motorbike collision, while the second was a 14-year-old male who injured his leg following a fall of three metres.
Emergency medical services at the scenes of the accidents reported a 90-degree valgus deformity of the injured limb and both limbs were realigned on scene and stabilized.
Adequate alignment of the tibia could not be achieved by manipulation under sedation or anaesthesia.
Open reduction and exposure of the fracture sites revealed that the distal fibula fragment was “transposed” and entrapped in the medulla of the proximal tibial fragment.
Reduction required simulation of the mechanism of injury in order to disengage the fragments and allow reduction.
Tibiofibula transposition is a rare complication of high-energy lower limb fractures which has not previously been reported and may prevent adequate closed reduction.
Impaction of the distal fibula within the tibial medulla occurs as the limb is realigned by paramedic staff before transfer to hospital.
We recommend that when this complication is identified the patient is transferred to the operating room for open reduction and stabilization of the fracture.
American Psychological Association (APA)
Loughenbury, Peter R.& Gledhill, Rebecca A.& Evans, Nick. 2016. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
Modern Language Association (MLA)
Loughenbury, Peter R.…[et al.]. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
American Medical Association (AMA)
Loughenbury, Peter R.& Gledhill, Rebecca A.& Evans, Nick. Tibiofibula Transposition in High-Energy Fractures. Case Reports in Emergency Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100733
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100733