Lower Limb Trauma
A 28-year-old pedestrian is struck by a car at high speed. He sustains a closed segmental fracture of the right tibia with fracture lines at the proximal and distal thirds, creating an intercalary segment. The limb is markedly swollen but well-perfused with intact pulses. CT angiography is negative for vascular injury. The soft tissue envelope is tense with early signs of compartment syndrome. Regarding segmental tibial shaft fractures:
Mark each as TRUE or FALSE
Segmental tibial fractures involve two or more fracture levels in the tibial shaft, creating an inte...
The intercalary segment is at high risk for avascular necrosis and nonunion because its blood supply...
Segmental fractures are low-energy injuries with minimal soft tissue damage; the intercalary segment...
Intramedullary nailing is the treatment of choice for most segmental tibial fractures; reaming impro...
Complications include nonunion (higher rate than simple fractures, particularly at the proximal frac...
Answer the questions to see explanations
Click T (True) or F (False) for each option