Concomitant XXXX Associated With Tibial Shaft Fractures.

@entity1 @entity174 @entity3681 @entity155 @entity158
BACKGROUND: @entity3681 associated with tibial shaft @entity174 can cause postoperative @entity158 and stiffness even when satisfactory bony union has been achieved. Although several previous studies have described these injuries, they have not been clearly defined or classified in terms of @entity3681 or need for surgical fixation. METHODS: Seventy-one consecutive @entity1 (mean    SD age, 48.3    16.7 years; 37 @entity1 and 34 @entity1 ) with tibial shaft @entity174 who underwent computed tomography examination were included. Data were collected including age, sex, body mass index, @entity174 location of the tibia and fibula (in percentile of length), @entity174 shape (spiral, oblique, transverse), presence and pattern of @entity3681 (on the distal tibial articular surface), and necessity for surgical fixation of @entity3681 . Factors associated with @entity3681 associated with tibial shaft @entity174 were analyzed by logistic regression analysis. RESULTS: A total of 47 (64.7%) of the 71 tibial shaft @entity174 involved @entity3681 , including 8 cases of combined @entity174 , @entity174 , and anterior inferior tibiofibular ligament (AITFL) @entity155 @entity174 ; 9 cases of combined @entity174 and @entity174 ; 6 cases of combined @entity174 and @entity174 ; 1 case of combined @entity174 and @entity174 ; 10 cases of @entity174 ; 7 cases of @entity174 ; 5 cases of @entity174 ; and 1 unclassified @entity174 . Of these, 34 of the @entity3681 required surgical fixation. Spiral-type tibial shaft @entity174 was significantly associated with concomitant @entity3681 (P = .001). CONCLUSIONS: Orthopaedic surgeons should be aware that tibial shaft @entity174 , especially @entity174 , are frequently associated with @entity3681 , such as @entity174 , @entity174 , and AITFL @entity155 @entity174 . A considerable portion of these cases may necessitate surgical fixation. We recommend all spiral-type tibial shaft @entity174 routinely undergo computed tomography examination. LEVEL OF EVIDENCE: Level III, comparative series.
