Mahmoud Tharwat Almekoud*, Abdallah El-Azanki and Moheib Ahmed

Department of Orthopedic Surgery, Mansoura University Faculty of Medicine, Egypt

*Corresponding Author: Mahmoud Tharwat Almekoud, Department of Orthopedic Surgery, Mansoura University Faculty of Medicine, Egypt.

Received: January 29, 2025; Published: February 19, 2025

Abstract

Fractures of long bones with comminution, particularly those involving butterfly or wedge fragments, pose significant challenges in surgical planning and management. This report presents the case of a 27-year-old male with a tibial plateau fracture and a bicortical tibial wedge fracture resulting from a road traffic accident. Initially, the wedge fragment was misidentified as unicortical, leading to intraoperative challenges that required a reassessment of the fracture morphology. This case underscores the importance of detailed preoperative imaging in fracture evaluation and highlights the need for accurate differentiation between unicortical and bicortical wedge fragments to guide appropriate surgical strategies. Fixation was successfully achieved using screws for the tibial plateau and interlocking nails for the tibial shaft. The outcome demonstrates the critical role of precise imaging and intraoperative decision-making in managing complex tibial fractures.

Keywords: Tibial Fractures; Wedge Fractures; Unicortical; Bicortical; Nail Tibia; Case Report

References

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Citation

Citation: Mahmoud Tharwat Almekoud., et al. ““The Complexity of Tibial Wedge Fractures Differentiating Unicortical and Bicortical Patterns-A Case Report”".Acta Scientific Orthopaedics 8.3 (2025): 03-07.

Copyright

Copyright: © 2025 Mahmoud Tharwat Almekoud., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.