Instructional Course Lecture   |    
Treatment of Closed Tibial Fractures
Andrew H Schmidt, MD; Christopher G. Finkemeier, MD, MBA; Paul TornettaIII, MD
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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

Andrew H. Schmidt, MD
Department of Orthopaedic Surgery, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415. E-mail address: schmi115@umn.edu

Christopher G. Finkemeier, MD, MBA
Department of Orthopaedic Surgery, Orthopaedic Trauma Service, University of California, Davis, Medical Center, 4860 Y Street, Suite 3800, Sacramento, CA 95817

Paul Tornetta III, MD
Department of Orthopaedic Surgery, Boston University Medical School, 850 Harrison Avenue, Dowling 2 North, Boston, MA 02118

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

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 March 2003 in Instructional Course Lectures, Volume 52. 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).

Look for these related articles in Instructional Course Lectures , Volume 52, which will be published by the American Academy of Orthopaedic Surgeons in March 2003:
• "Open Fractures of the Tibial Shaft: An Update," by Steven A. Olson, MD, and Emil Schemitsch, MD
• "Intramedullary Nailing of Proximal and Distal Tibial Shaft Fractures," by Andrew H. Schmidt, MD, and Paul Tornetta III, MD

J Bone Joint Surg Am, 2003 Feb 01;85(2):352-368
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Closed tibial shaft fractures are the most common long-bone fractures, resulting in approximately 77,000 hospitalizations, 569,000 hospital days (average length of stay, 7.4 days), and 825,000 office visits per year 1 . Closed tibial shaft fractures in young patients are most commonly sport-related injuries, whereas simple falls cause most of the closed tibial shaft fractures in the elderly. The fracture pattern of closed tibial fractures is usually simple, with less severe soft-tissue injury than is seen with open tibial shaft fractures 2 . The more complex fracture configurations are frequently seen in older, less fit patients with osteoporotic bone 2 .
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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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