This teaching session provides medical professionals with an introduction to tibial shaft fracture management, including anatomy, management options, nailing methods and specialist considerations. Attendees will be provided the knowledge necessary to answer trauma survivor and part one exam questions through exploration of high and low energy fractures, anatomy, and drawing out structures. By the end of the session, attendees can expect to have the necessary information to adequately treat tibial shaft fractures.
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Femoral and Humeral fractures and the management of non unions

Learning objectives

Learning Objectives: 1. Understand basic anatomy associated with tibial shaft fractures. 2. Discuss the prevalence of tibial shaft fractures and the type of energy associated with each. 3. Demonstrate the ability to draw a cross section of the tibus, understand the anterior, posterior, and lateral compartments and name the associated muscles. 4. Identify the specialist considerations for treating tibial shaft fractures, and 5. Describe the different types of nailing methods available for treatment.
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Computer generated transcript

The following transcript was generated automatically from the content and has not been checked or corrected manually.

All right guys. So we're gonna go through tibial shaft fractures for the exam. Uh So we're going to talk about some anatomy, some management options, different types of nailing methods, uh some specialist considerations and then we'll turn the recording off and just go through some cases like we did for the femoral side. Um So uh introduction uh to bashar fracture, the most common long bone fractures, almost a quarter of them open. Uh So often if you're gonna get an open fracture in the exam, it's likely to be an open tibia. So, understanding the treatment options is useful because it can help you with lots of parts of the exam. And in general practice, um uh the spiral fractures are the most common. Uh So uh simple spiral fracture which on the a a classification is a one uh is uh the epidemiology is that it's about 34% of uh fractures and a bit like thermal shaft fractures. Um They come in a by model distribution. So high energy in young patient's and low energy and frigid fractures in the older patients. Um So, in terms of knowledge, I'd expect you to by the end of this, know your anatomy. Um no enough to answer your trauma survivor and have a bit more information to answer your part one questions. So, going through the anatomy, you need to be able to draw a cross section of the tibia. And so um it's before the exam, you practice, just drawing it out and you need to know it looks like approximately in the middle and distantly. Um and it can come up in any part of the exam, it come up in your trauma of iver can come up in your basic science quite easily. And just having an idea of how to draw things out is fine. And when you practice it, sometimes during the exam, you're gonna be a little bit under pressure and you, you might freeze and think, oh I can't remember what comes first E H L or Tib aunt and what order. And so start by drawing out things you do know as the advice that I got and it helped me a lot. OK. So draw your tibia, draw your fibula, draw your neurovascular bundles because you know what they are for the anterior compartment, posterior compartment, and lateral compartment, okay. And then start drawing the big muscles, okay. So your gas strokes and your soleus and then just work your way around to the stuff that you do know so that if you can't remember it all, hopefully, by the time you've drawn the things you do know, they'll go. Yeah. Yeah, that's fine. You know what you're talking about and move on to the next one. Um, otherwise you can always just, you can score points as you go along. They're just telling them what, you know, um, in terms of deforming forces and we can't go back, hang on and knowingly it won't go back. Hold on. Sorry, pause the recording for a sec.