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Orthopaedics

Tibial Shaft Fractures (AO Based)

Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)

What’s inside

2 sections · 98 slides

  1. 01

    Overview

    • Introduction
    • Tibial shaft fractures: overview
    • Tibial shaft fractures: overview
    • Anatomy of the leg
    • Shape and soft-tissue cover of the tibia
    • Shape and soft-tissue cover of the tibia
    • The four compartments of the leg
    • The four compartments of the leg
    • Nerves and vessels at risk
    • Nerves and vessels at risk
    • Role of the fibula
    • Role of the fibula
    • Clinical and radiographic assessment
    • Energy and soft-tissue injury
    • Compartment syndrome in the leg
    • Compartment syndrome in the leg
    • Radiographs and preoperative planning
    • Radiographs and preoperative planning
    • Grading the open fracture wound
    • Grading the open fracture wound
    • AO/OTA classification and treatment options
    • AO/OTA classification: types A and B
    • Fracture types as drawn by AO
    • Fracture types as drawn by AO (cont.)
    • AO/OTA classification: type C
    • AO/OTA classification: type C
    • AO/OTA type tree for the tibial shaft
    • Treatment options shared by all groups
    • Treatment options shared by all groups (cont.)
    • Simple fractures (42A)
    • Simple spiral fractures (42A1)
    • Simple spiral fractures (42A1)
    • Simple oblique and transverse fractures
    • Operative options: simple fractures
    • Operative options: simple fractures (cont.)
    • Decision logic: simple fractures
    • Decision logic: simple fractures
    • Wedge fractures (42B)
    • Wedge fractures: principles
    • Treatment options: wedge fractures
    • Treatment options: wedge fractures (cont.)
    • Decision logic: wedge fractures
    • Decision logic: wedge fractures
    • Multifragmentary fractures (42C)
    • Segmental fractures: principles
    • Treatment options: segmental fractures
    • Treatment options: segmental fractures (cont.)
    • Decision logic: segmental fractures
    • Decision logic: segmental fractures
    • Nonoperative treatment
    • Nonoperative treatment: indications
    • Closed reduction and long leg cast
    • Closed reduction and long leg cast
    • Cast aftercare and the Sarmiento cast
    • Cast aftercare and the Sarmiento cast
    • Operative techniques
    • Patient positioning
    • Patient positioning
    • Approaches for tibial nailing
    • Approaches for tibial nailing
    • Open approaches for plating
    • Open approaches for plating
    • Minimally invasive plating approaches
    • Minimally invasive plating approaches
    • Intramedullary nailing: principles
    • The nail entry point
    • The nail entry point
    • Suprapatellar nailing: steps
    • Suprapatellar nailing: steps
    • Reaming, locking and nailing pitfalls
    • Reaming, locking and nailing pitfalls
    • MIO compression plating: steps
    • MIO compression plating: steps
    • Bridge plating: principles
    • Bridge plating: principles
    • Lag screws with a protection plate
    • Lag screws with a protection plate
    • External fixation: pin placement
    • External fixation: pin placement

    79 slides

  2. 02

    Open fractures, infection and aftercare

    • Management of open fractures
    • Management of open fractures
    • Antibiotics for open fractures
    • Antibiotics for open fractures (cont.)
    • Fracture-related infection by timing
    • Fracture-related infection by timing
    • Weight bearing by treatment
    • Weight bearing by treatment
    • Postoperative care and follow-up
    • Complications to watch for
    • Complications to watch for
    • Take-home messages
    • References (1 of 5)
    • References (2 of 5)
    • References (3 of 5)
    • References (4 of 5)
    • References (5 of 5)
    • Join our WhatsApp groups

    18 slides