Journal of Musculoskeletal Trauma

Original Articles

Ankle Fracture Associated with Tibia Shaft Fractures: Ji Wan Kim, Hong Joon Choi, Dong Hyun Lee, Young Chang Kim; J Korean Fract Soc 2014;27(2):136-143. Published online April 30, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.2.136

PURPOSE
The purpose of this study is to evaluate the incidence of ankle injury in ipsilateral tibial shaft fractures and to assess the risk factors for ankle injury associated with tibial shaft fractures.
MATERIALS AND METHODS
Sixty patients with tibial shaft fractures were enrolled in this retrospective study. The incidence and characteristics of ankle injury were evaluated, and fracture classification, fracture site, and fracture pattern of the tibial shaft fractures were analyzed for assessment of the risk factors for ankle injury combined with tibial shaft fractures.
RESULTS
Ankle injury occurred in 20 cases (33%). There were four cases of lateral malleolar fracture, four cases of posterior malleolar fracture, two cases of distal tibiofibular ligament avulsion fracture, and 10 cases of complex injury. Fourteen cases (70%) of 20 cases of ankle injury were diagnosed from x-ray films, and the other six cases were recognized in ankle computed tomography (CT). Ankle injury occurred in 45.1% of distal tibial shaft fractures and found in 41.4% of A type, but there was no statistical significance. Ankle injury was observed in 54% of cases of spiral pattern of tibial shaft fracture and the incidence was statistically higher than 19% of cases of non-spiral pattern tibial shaft fracture.
CONCLUSION
Ankle injury was observed in 33% of tibial shaft fractures; however, only 70% could be diagnosed by x-ray. Ankle injury occurred frequently in cases of spiral pattern of tibial shaft fracture, and evaluation of ankle injury with CT is recommended in these cases.

Citations

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Usefulness of Computed Tomography on Distal Tibia Intra-Articular Fracture Associated with Spiral Tibia Shaft Fracture
Seong-Eun Byun, Sang-June Lee, Uk Kim, Young Rak Choi, Soo-Hong Han, Byong-Guk Kim
Journal of the Korean Fracture Society.2016; 29(2): 114. CrossRef

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Treatment of Tibial Shaft Fractures by Intramedullary Nailing: Sung Kon Kim, Sung Woo Suh, Hyung Suk Kim; J Korean Soc Fract 1994;7(2):431-437. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.431

Abstract PDF: From March, 1989 to Sept. 1992, total of 31 cases of tibial shaft fracture have been admitted treated with intramedullary nailing at the Department of Orthopaedic Surgery, Ansan Hospital, Korea University. Among them, 13 cases which had been followed-up than 2years were analyzed and the results were as follows; 1. Among the 13 patients, 9 of them(69.2%) were male, the rest of 4(30.8%)were female. 2. Eight cases out of 13 were open fractures with Gustilo type I-4 cases, type II-2 cases, type III-2 cases and the remaining 5 were closed type. 3. Treatment offered were either interlocking intramedullary nailing(10 cases, 76.9%) or insertion of flexble nails(3 cases, 23.1%). 4. There were no cases with non-union and the average period of bone union was 21.6 weeks. 5. Delayed union and superficial infection occured in each three cases as a complication. 6. Intramedullary nailing could be used carefully in tibial shaft fracture even in the communicated & open fractures.

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