Authors of section

Authors

Markku T Nousiainen, Andrew Oppy, J Spence Reid

Editor

Markku T Nousiainen

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Highlights of tibial shaft

Introduction to the third edition

Publication of third edition (October 23, 2025)

The content was authored by Markku Nousiainen (CA) and Andrew Oppy (AU). J. Spence Reid (US) was the author of the Ring fixator content. Markku Nousiainen was the editor.

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Highlights

This module covers the treatment options for:

  • Simple spiral fractures
  • Simple oblique fractures
  • Simple transverse fractures
  • Wedge fractures with an intact wedge
  • Wedge fractures with a fragmented wedge
  • Intact segmental multifragmentary fractures
  • Fragmentary segmental multifragmentary fractures

This module provides comprehensive guidance on surgical approaches to the tibial shaft, including both open and minimally invasive techniques from various anatomical directions. It outlines patient positioning strategies tailored to specific procedures, such as intramedullary nailing and ring fixator application. Basic techniques for fracture management are covered, especially in resource-limited settings, along with methods for casting and nailing without imaging. The module also includes essential information on infection management and prevention, as well as principles for treating open fractures and recurrent osteomyelitis.

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