What is a Poller screw?
Poller screws are sited, under image intensifier guidance, distal to the fracture site anteroposteriorly. This narrows the medullary canal and allows centralisation of the intramedullary nail in the widening metaphyseal portion of the distal tibia.
Where do you put a block screw?
A blocking screw is placed on the large distal fragment anterior to the guidewire from the wide-angle corner (formed by fracture line with bone cortex) in a lateral to medial direction (A). When the nail is reapplied, reduction is mostly achieved (B).
How long does tibial fracture take to heal?
Most tibial shaft fractures take 4 to 6 months to heal completely. Some take even longer, especially if the fracture was open or broken into several pieces or if the patients uses tobacco products.
How do you manage a proximal tibial fracture?
Treatment. A proximal tibia fracture can be treated nonsurgically or surgically. There are benefits and risks associated with both forms of treatment. Whether to have surgery is a combined decision made by the patient, the family, and the doctor.
What is a blocking screw?
Historically, blocking screws have been used to assist in acute reduction of fractures during intramedullary (IM) nailing. The reverse-rule-of-thumbs (RROT) for blocking screws was introduced to facilitate internal lengthening nail use in deformity correction and limb lengthening.
Is the tibia a strong bone?
It’s the second longest bone in your body, and it’s an important part of your ability to stand and move. Your tibia also supports lots of important muscles, tendons, nerves and ligaments. Because it’s so strong, it usually takes a severe trauma like a fall or car accident to break your tibia.
How do you strengthen your legs after breaking your tibia?
Exercises might include aggressive gait training (progressively putting more weight on the injured leg) and lower body strengthing exercises like squats, calve raises, bridges, and leg raises.
When can you start putting weight on a broken tibia?
Any time a bone is broken we have to remove pressure on that bone to allow it to heal. This contributes to the prolonged healing time and requires a period of about 6 weeks where no weight is put on that leg. Depending on the severity of the break and the complexity of the surgery that time could be even longer.