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Journal of Bone and Joint Surgery - British Volume, Vol 75-B, Issue 3, 450-452
Copyright © 1993 by British Editorial Society of Bone and Joint Surgery

Articles

Algodystrophy and osteoporosis after tibial fractures

PP Sarangi, AJ Ward, EJ Smith, GE Staddon, and RM Atkins

University Dept. of Orthopaedic Surgery, Bristol Royal Infirmary, UK.

We made a prospective study of the incidence and natural history of algodystrophy and associated changes in bone mineral density in the ankles and feet of 60 consecutive patients who had suffered unilateral fractures of the tibial shaft. At bone union, 18 patients showed signs of algodystrophy. Its development was independent of the type of fracture management and of the severity of injury. Patients with algodystrophy lost significantly more bone mineral than did those without but the degree of this loss was independent of the type of treatment and of the time to fracture union. In most cases the symptoms resolved within six months of fracture union but in four patients they were still present at one year and two of these had not returned to work.




(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General