In this episode of the OTA Podcast, we bring together leading voices in orthopaedic trauma and bone healing to discuss the challenges and innovations shaping the treatment of tibial fractures.
Host Hannah Dailey, PhD, Chief Scientific Officer at OrthoXel, is joined by Sean Campbell, MD and Augustine Saiz, MD, orthopaedic trauma surgeons at UC Davis. Together, they explore the biological and mechanical principles behind successful tibial union, discuss strategies for managing complex fractures, and share clinical insights from their experience treating these challenging injuries.
The conversation covers current evidence, real-world case considerations, and emerging technologies that may improve patient outcomes, making this episode valuable for orthopaedic surgeons, residents, fellows, and anyone interested in advancing fracture care.
In this episode:
00:00 Introduction & sponsor disclosure
00:01 Meet the guests
00:02 High-risk tibial fractures and non-union
00:05 Delayed union: what surgeons look for
00:07 The patient and economic impact of slow healing
00:09 Mechanobiology explained
00:11 Why 1 mm of controlled micromotion?
00:13 Micromotion vs. traditional dynamization
00:16 Clinical experience with the Apex Micromotion Tibial Nail
00:20 Polytrauma, weight-bearing, and complex cases
00:22 Bone transport and infection applications
00:23 Surgical workflow and technique
00:24 Closing remarks
Tune in for an engaging discussion on the science and clinical practice behind improving outcomes for patients with tibial fractures.