A 22 year-old male baseball player fell while running and sustained a twisting injury to his left lower extremity. He was taken to a local hospital and radiographs revealed a spiral oblique distal third tibia fracture. He was initially placed in a long leg cast and referred to the NYOTS for definitive management. Open reduction and internal fixation (ORIF) was performed with insertion of an intramedullary (IM) nail and locking screws. He returned for regular follow-up and healed uneventfully. At the time of his latest follow-up visit, 9 months following fracture surgery, he has excellent radiographic and clinical results including a healed distal tibia fracture in good alignment, resolution of pain, and a return to pre-injury activities including baseball.
IMAGES
- Figure A Anteroposterior (AP) and lateral radiographs reveal a spiral oblique distal third tibia fracture.
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- Figure B AP and lateral radiographs 9 months following surgery reveal a healed distal tibia fracture.
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