الفهرس 
Interosseous MembraneOnly 14 pages are availabe for public view
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Abstract
The tibial diaphysis is the most frequently fractured long bone. Open
fractures are common especially in the middle one third of its length as
it is subcutaneous. Distal one-third has a deficient blood supply and a
fracture in this area is known for delayed union and nonunion.
The optimal treatment of high energy tibial fractures remains
controversial and a challenging orthopaedic problem. The treatment of
these severe injuries ranges from non-operative to operative or a
combination of these techniques depending on soft tissue damage,
anatomical location of the fracture, articular surface involvement and
bone defects. Currently, non-surgical procedures like using casts, brace
or interventional attempts like inserting of plate, intramedullary nailing
and external fixators are used for treatment of tibial diaphyseal
fractures.
The Ilizarov apparatus have been used in the treatment of complex
high energy tibial fractures because of its ability for multilevel tibial
fracture stabilization with minimal disruption of the soft tissue, also
Ilizarov technique has many advantages over conventional orthopedic
treatment of fractures as permitting accurate reduction and alignment of
comminuted and articular fractures. Weight bearing and joint range of
motion can begin very early. It also permits secondary correction
without further surgical invasion. It can be used very effectively in
patients of polytrauma.
In this study twenty one legs with high energy tibial diaphyseal
fractures was treated by Ilizarov external fixator at Tanta University
Hospital during the period from January 2016 to June 2017.