Double Segmental Tibial Fracture: Case Report with Review of Literature

Abstract

Abstract:We report a 51 year old male with open double segmental fracture of both bones of left leg after being allegedly hit by a car. Patient was initially treated by toileting, debridement and nailing, followed by bone grafting at a later date. Segmental tibial fractures are uncommon and double segmental fractures/ trifocal fractures are rarely seen, literature search revealed that only three such cases and only one treated previously by intramedullary nail. Intramedullary nail remains effective treatment modality of such fractures and these fractures often require bone grafting.

Double Trouble of “Double Segmental” Fractures – A Report of Two Cases

“…“Double segmental” fractures are extremely rare, with only three femoral cases reported in the literature [ 2 , 3 , 4 ], and there are a total of four reported cases of double segmental tibia fracture [ 5 , 6 , 7 , 8 ] ( Table 1 ).…”

“…These issues can be addressed using an intramedullary implant [ 1 , 2 , 4 , 7 , 8 ]. Furthermore, separate versus single implants have been debated in the literature.…”