Session I - Tibia Friday, October 17, 1997


Moderator: Peter G. Trafton, MD
8:16 a.m. Results of a Staged Protocol for Wound Management in Complex Pilon Fractures

Michael Sirkin, MD, Paul Gregory, MD, Dolfi Herscovici, DO, Thomas DiPasquale, DO, Roy Sanders, MD

Florida Orthopaedic Institute, Tampa, Florida, USA


8:23 a.m. New Bone Formation and Cortical Revascularisation after Reamed and Unreamed Tibial Nailing

Martin Runkel, MD, Lothar Rudig, MD, Jürgen Degreif, Prof., MD, Pol Maria Rommens, Prof., MD

Unfallchirurgie Johannes Gutenberg-Universität Mainz, Mainz, Germany


8:30 a.m. The Effect of Limited and Standard Reaming on Cortical Bone Blood Flow and Early Strength of Union following Segmental Fracture

Thomas M. Hupel, MD, Sergei A. Aksenov, MD, Emil H. Schemitsch, MD, FRCS(C)

St. Michael's Hospital, Univ. of Toronto, Toronto, Ontario, Canada


8:37 a.m. Discussion - Robin R. Richards, MD
8:48 a.m. Distal-Fourth Tibial Fractures Treated with Locked Intramedullary Nailing: Does Fibular Fracture Influence Malalignment?

A. Paige Whittle, MD, John Crates, MD, George W. Wood, II, MD, Scott M. F. Duncan, MD

Campbell Clinic-University of Tennessee, Memphis, Tennessee, USA


8:55 a.m. *Closed Reduction /Percutaneous Fixation of Tibial Plateau Fractures - Arthroscopic versus Fluoroscopic Control of Reduction

Philipp Lobenhoffer, MD, M. Schulze, MD, T. Gerich, MD, C. Lattermann, MD, H. Tscherne, MD

Unfallchirurgische Klinik-Hannover Medical School, Hannover, Germany


9:02 a.m. Discussion - John L. Marsh, MD
9:07 a.m. Surgeon Randomized, Prospective Study Comparing Reamed versus Unreamed Intramedullary Nailing for the Treatment of Unstable Closed and Open Tibial Diaphyseal Fractures

Christopher G. Finkemeier, MD, Richard F. Kyle, MD, Andrew H. Schmidt, MD, David C. Templeman, MD, Thomas F. Varecka, MD

Hennepin County Medical Center, Minneapolis, Minnesota, USA


9:14 a.m. Reamed or Unreamed Intramedullary Nailing for Closed and Open Grade I Tibial Shaft Fractures?

Christophe Sadowski, MD, Albert Schopfer, MD, Bertrand Le Coultre, MD, Robin Peter, MD

Clinique d'Orthopédie et de Chirurgie, Geneva University Hospital, Geneva, Switzerland


9:21 a.m. Panel Discussion - Reamed vs. Unreamed in both open and closed Tibial Fractures - Samuel G. Agnew, MD, Tony Russell, MD, Donald A.Wiss, MD
9:57 a.m. Limb Salvage versus Amputation Patients: Are They Different from Each Other and the General Population?

Ellen J. MacKenzie, PhD, Michael J. Bosse, MD,and the LEAP Study Group

Carolinas Medical Center, Charlotte, North Carolina, USA


10:04 a.m. Initial Evaluation of The Grade IIIB/IIIC Tibia Fracture: A Prospective Limb Salvage Score Assessment

Michael J. Bosse, MD, Ellen MacKenzie, PhD, and the LEAP Study Group

Carolinas Medical Center, Charlotte, North Carolina, USA


10:11 a.m. Discussion - Richard H. Lange, MD
10:16 a.m. Detecting Intra-Articular Incongruity: A Comparison of Plain Radiographs versus Fluoroscopy

Michael McDermott, MD, Anthony Buoncristiani, MD, William Mills, MD, Geoffrey McCullen, MD, Alexander Shin, MD

Naval Medical Center, San Diego, California, USA


10:23 a.m. Bilateral Above Knee Amputees due to Battle Injuries Sustained inVietnam. Average 27.5 Year Follow-Up using the SF-36 Health Survey

Paul J. Dougherty, MAJ, MC, USA

William Beaumont Army Medical Center, El Paso, Texas, USA


10:30 a.m. Discussion - Gregory M. Georgiadis, MD