Selected Instructional Course Lecture   |    
Avoiding Complications in the Care of Fractures of the Tibia
Lisa K. Cannada, MD1; Jeffrey O. Anglen, MD2; Michael T. Archdeacon, MD, MSE3; Dolfi HerscoviciJr., DO4; Robert F. Ostrum, MD5
1 Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8883. E-mail address: lisa.cannada@utsouthwestern.edu
2 Department of Orthopaedics, Indiana University School of Medicine, 541 Clinical Drive, Suite 600, Indianapolis, IN 46202-5111
3 Department of Orthopaedics, University of Cincinnati Medical Center, P.O. Box 670212, 231 Albert Sabin Way, ML 0212, Cincinnati, OH 45267
4 Florida Orthopaedic Institute, 13020 Telecom Parkway North, Temple Terrace, FL 33673
5 3 Cooper Plaza, Suite 408, Camden, NJ 08103
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Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2009 in Instructional Course Lectures, Volume 58. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors or a member of his or her immediate family received, in any one year, payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from a commercial entity (Medtronic Sofamor Danek). Also, a commercial entity (Stryker Orthopaedics) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Aug 01;90(8):1760-1768
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Look for this and other related articles in Instructional Course Lectures, Volume 58, which will be published by the American Academy of Orthopaedic Surgeons in February 2009:"Prevention of Complications After Treatment of Femoral Shaft and Distal Femoral Fractures," by Robert F. Ostrum, MD, Jeffrey O. Anglen, MD, Michael T. Archdeacon, MD, MSE, Lisa K. Cannada, MD, and Dolfi Herscovici, DOTibial fractures are the most common long-bone fractures, with the National Center for Health Statistics reporting an annual incidence of 492,000 fractures of the tibia and fibula per year in the United States1. Fractures of the tibial shaft range from low-energy minimally displaced fractures to limb-threatening injuries with associated nerve and arterial damage and major damage to the soft-tissue envelope. Even the lower-energy tibial shaft fractures are not as benign as they seem. Common problems include deformity after intramedullary nail fixation of fractures in the proximal one-third of the tibia, infections after open fractures, and aseptic nonunions. This lecture covers these three common complications, with an emphasis on prevention, recognition, and treatment.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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