From X-ray to Surgery: Complex Tib-Fib Leg Fractures⁉️

Описание: How would you describe this leg fracture X-ray? #shorts
Tibia-fibula fractures (called "tib-fib" fractures) are among the most frequent long bone injuries, affecting the (2) major bones of the lower leg. The tibia (larger shin bone) bears most of your weight, while the smaller fibula provides stability + muscle attachment points. X-ray description: comminuted tibial shaft fracture w/ displaced butterfly fragment; transverse fracture at the proximal fibular diaphysis; fracture also seen at lateral tibial plateau. Do you agree?
This particular fracture pattern can be referred to as "butterfly fracture" - a distinctive type of comminuted fracture (gets name from appearance on imaging). A butterfly fracture occurs when (2) oblique fracture lines meet to create a large, triangular/wedge-shaped bone fragment positioned between the main proximal and distal fracture segments. This central fragment can resemble a butterfly w/ outstretched wings silhouette. The presence of a butterfly fragment indicates high-energy trauma and represents a more complex injury pattern requiring specialized treatment approaches - often needing separate fixation w/ screws or plates during open reduction and internal fixation surgery. The fragment can compromise healing if left unstabilized
Tibial shaft fractures w/ butterfly fragments carry a higher risk of nonunion because the triangular fragment can disrupt the bone's natural healing cascade/mechanical stability. Understanding these fracture patterns help your surgeon develop optimal treatment strategies. While impressive on x-ray, butterfly fractures can heal successfully w/ proper orthopedic management, though they typically require longer recovery periods + more intensive rehabilitation vs. simple fracture patterns
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About Dr. Cory Calendine, MD #orthopedicsurgeon #jointreplacement
In the operating room, I get to perform more than 600 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health

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Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.