scholarly journals Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Kyohei Takase ◽  
Sang Yang Lee ◽  
Takahiro Waki ◽  
Tomoaki Fukui ◽  
Keisuke Oe ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Corrective Osteotomy ◽  
Fracture Site ◽  
Bony Union ◽  
Tibial Shaft ◽  
Invasive Treatment ◽  
Rotational Angle ◽  
Distal Locking ◽  
Locking Screws

Rotational malreduction is a potential complication of intramedullary nailing for tibial shaft fractures. We experienced a symptomatic case of a 24° externally rotated malunion that we treated with minimally invasive corrective osteotomy. A 49-year-old man sustained a tibial shaft spiral fracture with a fibula fracture. He had been initially treated elsewhere with a reamed statically locked intramedullary nail. Bone union had been obtained, but he complained of asymmetry of his legs, difficulty walking and running, and the inability to ride a bicycle. We decided to perform corrective osteotomy in a minimally invasive fashion. After a 1 cm incision was made at the original fracture site, osteotomy for the affected tibia was performed with an osteotome after multiple efforts at drilling around the nail with the aim of retaining it. Fibula osteotomy was also performed at the same level. Two Kirschner wires that created an affected rotational angle between the fragments were inserted as a guide for correction. The distal locking screws were removed. Correct rotation was regained by matching the two wires in a straight line. Finally, the distal locking screws were inserted into new holes. The patient obtained bony union and has returned to his preinjury activities with no symptoms.

scholarly journals Biomechanical comparison of distal locking screws for distal tibia fracture intramedullary nailing

2011 ◽  
Vol 04 (04) ◽  
pp. 235-241 ◽  
Author(s):  
Brennen L. Lucas ◽  
Alexander C.M. Chong ◽  
Bruce R. Buhr ◽  
Teresa L. Jones ◽  
Paul H. Wooley
Keyword(s):  
Intramedullary Nailing ◽  
Distal Tibia ◽  
Tibia Fracture ◽  
Distal Tibia Fracture ◽  
Distal Locking ◽  
Locking Screws ◽  
Biomechanical Comparison

Distal Locking Screws for Intramedullary Nailing of Tibial Fractures

Orthopedics ◽  
2016 ◽  
Vol 39 (2) ◽  
pp. e253-e258 ◽  
Author(s):  
Filon Agathangelidis ◽  
Georgios Petsatodis ◽  
John Kirkos ◽  
Pericles Papadopoulos ◽  
Dimitrios Karataglis ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Tibial Fractures ◽  
Distal Locking ◽  
Locking Screws

scholarly journals Elastic stable intramedullary nailing for fractures in children – principles, indications, surgical technique

2014 ◽  
Vol 87 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Dana Elena Vasilescu ◽  
Dan Cosma
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Elastic System ◽  
Fracture Site ◽  
Medullary Canal ◽  
Elastic Stable Intramedullary Nailing ◽  
Invasive Technique ◽  
Fractures In Children ◽  
Elastic Nails

Elastic stable intramedullary nailing (ESIN) is a minimally invasive technique. According to this technique, two elastic nails are introduced through the metaphysis into the medullary canal, are advanced through the fracture site and impacted into the opposite metaphysis. These nails are preformed in a C-shaped manner, which allows for their precise orientation and the creation of an elastic system that resists deformation.

scholarly journals Elastic stable intramedullary nailing for fractures in children – specific applications

2014 ◽  
Vol 87 (3) ◽  
pp. 147-151 ◽  
Author(s):  
Dan Cosma ◽  
Dana Elena Vasilescu
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Healing Process ◽  
Plaster Cast ◽  
Fracture Site ◽  
Elastic Stable Intramedullary Nailing ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Cast Immobilization ◽  
Fractures In Children

Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures. It approximates the physiological healing process of bone, without opening the fracture site. Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

scholarly journals Laser interstitial thermotherapy (LITT) for the treatment of tumors of the brain and spine: a brief review

2021 ◽  
Vol 151 (3) ◽  
pp. 429-442
Author(s):  
Clark Chen ◽  
Ian Lee ◽  
Claudio Tatsui ◽  
Theresa Elder ◽  
Andrew E. Sloan
Keyword(s):  
Brain Tumors ◽  
Minimally Invasive ◽  
Radiation Necrosis ◽  
Spinal Metastasis ◽  
Clinical Approach ◽  
Invasive Treatment ◽  
Primary Indication ◽  
Interstitial Thermotherapy ◽  
The Brain

Abstract Introduction Laser Interstitial Thermotherapy (LITT; also known as Stereotactic Laser Ablation or SLA), is a minimally invasive treatment modality that has recently gained prominence in the treatment of malignant primary and metastatic brain tumors and radiation necrosis and studies for treatment of spinal metastasis has recently been reported. Methods Here we provide a brief literature review of the various contemporary uses for LITT and their reported outcomes. Results Historically, the primary indication for LITT has been for the treatment of recurrent glioblastoma (GBM). However, indications have continued to expand and now include gliomas of different grades, brain metastasis (BM), radiation necrosis (RN), other types of brain tumors as well as spine metastasis. LITT is emerging as a safe, reliable, minimally invasive clinical approach, particularly for deep seated, focal malignant brain tumors and radiation necrosis. The role of LITT for treatment of other types of tumors of the brain and for spine tumors appears to be evolving at a small number of centers. While the technology appears to be safe and increasingly utilized, there have been few prospective clinical trials and most published studies combine different pathologies in the same report. Conclusion Well-designed prospective trials will be required to firmly establish the role of LITT in the treatment of lesions of the brain and spine.

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