Angle stable interlocking screws improve construct stability of intramedullary nailing of distal tibia fractures: A biomechanical study

Injury ◽  
2009 ◽  
Vol 40 (7) ◽  
pp. 767-771 ◽  
Author(s):  
Horn J ◽  
Linke B ◽  
Höntzsch D ◽  
Gueorguiev B ◽  
Schwieger K
Keyword(s):  
Intramedullary Nailing ◽  
Distal Tibia ◽  
Biomechanical Study ◽  
Angle Stable ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

scholarly journals Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis?

2018 ◽  
Vol 24 (1) ◽  
pp. 66-71
Author(s):  
Kawalkar Abhijit Chandrakant ◽  
Badole Chandrashekher Martand
Keyword(s):  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Early Weight Bearing ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

Introduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPPO technique. Methods The study was conducted between Jan 2011 to Dec 2012. 63 patients with extra-articular distal tibia fracture treated with intramedullary nailing and MIPPO technique were reviewed retrospectively and clinical outcome was evaluated according to American Orthopaedic Foot and Ankle Score. Results 31 patients were treated with intramedullary nail & 32 with MIPPO technique. Fibular fixation was done in cases where fibular fracture was at or below the level of tibial fractures. We found no difference in terms of time for fracture union, mal-union, non-union, duration of surgery and amount of blood loss. But there was significant difference in terms of infection and duration of hospital stay. Also weight bearing was possible much earlier in intramedullary group as compared to the MIPPO group. Conclusion Thus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures & helps in early weight bearing and ambulation of patient with fewer complications.

F3.6 Comparisons of extra-articular distal tibia fractures: percutaneous locked plating versus intramedullary nailing

Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S11-S12
Author(s):  
F. Bilgili ◽  
S. Sökücü ◽  
A. Kilic ◽  
A.S. Parmaksizoglu ◽  
S.K. Çepni ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Distal Tibia ◽  
Locked Plating ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

scholarly journals A comparative biomechanical study of the Distal Tibia Nail against compression plating for the osteosynthesis of supramalleolar corrective osteotomies

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Julia Greenfield ◽  
Philipp Appelmann ◽  
Yoann Lafon ◽  
Karine Bruyère-Garnier ◽  
Pol Maria Rommens ◽  
...  
Keyword(s):  
Distal Tibia ◽  
Biomechanical Study ◽  
Worst Case ◽  
Lateral Cortex ◽  
Torsional Testing ◽  
Interfragmentary Movement ◽  
Tibia Fractures ◽  
Distal Tibia Fractures ◽  
Von Mises ◽  
Force Displacement

AbstractThe Distal Tibia Nail (DTN; Mizuho, Japan) has demonstrated higher biomechanical stiffness to locking plates in previous research for A3 distal tibia fractures. It is here investigated as a fixation option for supramalleolar corrective osteotomies (SMOT). Sixteen Sawbones tibiae were implanted with either a DTN (n = 8) or Medial Distal Tibia Plate (MDTP; n = 8) and a SMOT simulated. Two surgical outcome scenarios were envisaged: “best-case” representing an intact lateral cortex, and “worst-case” representing a fractured lateral cortex. All samples were subjected to compressive (350 N, 700 N) and torsional (± 4 Nm, ± 8 Nm) testing. Samples were evaluated using calculated construct stiffness from force–displacement data, interfragmentary movement and Von Mises’ strain distribution. The DTN demonstrated a greater compressive stiffness for the best-case surgical scenario, whereas the MDTP showed higher stiffness (p < 0.05) for the worst-case surgical scenario. In torsional testing, the DTN proved more resistant to torsion in the worst-case surgical setup (p < 0.05) for both ± 4 Nm and ± 8 Nm. The equivalent stiffness of the DTN against the MDTP supports the use of this implant for SMOT fixation and should be considered as a treatment option particularly in patients presenting vascularisation problems where the MDTP is an inappropriate choice.

scholarly journals A new angle stable nailing concept for the treatment of distal tibia fractures

2014 ◽  
Vol 38 (6) ◽  
pp. 1255-1260 ◽  
Author(s):  
Sebastian Kuhn ◽  
Philipp Appelmann ◽  
Philip Pairon ◽  
Dorothea Mehler ◽  
Frank Hartmann ◽  
...  
Keyword(s):  
Distal Tibia ◽  
Angle Stable ◽  
Tibia Fractures ◽  
Distal Tibia Fractures
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