scholarly journals Extraction of Broken Tibial Interlock Nail with a Retrograde Hooked Guide Wire: A Novel Surgical Technique

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Bipul K Garg ◽  
Harshit Dave
Keyword(s):  
Road Traffic ◽  
Sagittal Plane ◽  
Guide Wire ◽  
Distal Tibia ◽  
Shaft Fracture ◽  
Fracture Site ◽  
Distal Fibula ◽  
Tibia Shaft Fracture ◽  
Distal Locking ◽  
Tibia Shaft

Introduction: Removal of a distal piece of a broken nail often possesses a technical challenge. Several methods have been described in the past to extract a distal piece by using specialized instruments like such as hooks, olive wires, and talwalkar radial square nail etc. It is difficult to extract a distal piece from a proximal incision site and often fracture or the nonunion site has to be opened. In this article, we describe a novel technique to extract a distal piece of broken intramedullary tibia nail by retrograde manner using a guide wire with a “‘U”’ shaped bend at its distal end to hook the tip of a distal piece of broken nail and help in extraction. Case Report: A 43- year-s old male presented with complain of pain in left leg since 3 months. Patient had sustained left- sided compound Grade 2 tibia shaft fracture in a road traffic accident 4 years back. He was operated with tibia interlock nail followed by skin grafting for wound coverage in a different facility. On clinical examination: There was tenderness around distal tibia, no swelling, no coronal or sagittal plane fracture mobility, and no crepitus or loss of transmitted movements which suggested fracture union clinically. Radiographs confirmed complete union of tibia shaft fracture with hypertrophic nonunion of distal fibula with broken intramedullary nail IMN at the level of proximal most screw hole of distal locking holes with both distal locking screws broken. As fracture was united, we planned for removal of broken nail without opening fracture site. For extraction for distal tibial broken nail part, we used this new Retrograde Hooked Guide Wire technique. Conclusion: It is a simple, cost effective, minimally invasive procedure with minimal blood loss and decrease time of surgery that can be used before attempting more invasive extraction methods and hence should be included in standard procedures for extraction. Keywords: Tibia, interlock nail, broken nail, retrograde guide wire, nail removal.

The Treatment of Distal Tibia Shaft Fracture Using May Anatomical Bone Plate

1992 ◽  
Vol 27 (3) ◽  
pp. 744
Author(s):  
Seung Gyun Cha ◽  
Won Suck Lee ◽  
Jin Hak Kim ◽  
Woo Tae Lee
Keyword(s):  
Distal Tibia ◽  
Shaft Fracture ◽  
Bone Plate ◽  
Tibia Shaft Fracture ◽  
Tibia Shaft

Usefulness of Computed Tomography on Distal Tibia Intra-Articular Fracture Associated with Spiral Tibia Shaft Fracture

2016 ◽  
Vol 29 (2) ◽  
pp. 114
Author(s):  
Seong-Eun Byun ◽  
Sang-June Lee ◽  
Uk Kim ◽  
Young Rak Choi ◽  
Soo-Hong Han ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Distal Tibia ◽  
Shaft Fracture ◽  
Articular Fracture ◽  
Tibia Shaft Fracture ◽  
Tibia Shaft

Decrease surgery time by using an alternative lateral parapatellar approach for tibia shaft fracture nailing

2019 ◽  
Vol 139 (7) ◽  
pp. 943-949 ◽  
Author(s):  
Andreas Ladurner ◽  
Yves P. Acklin ◽  
Thomas S. Mueller ◽  
Christoph Sommer
Keyword(s):  
Shaft Fracture ◽  
Tibia Shaft Fracture ◽  
Tibia Shaft

scholarly journals Comparative investigation of percutaneous plating and intramedullary nailing effects on IL-6 production in patients with tibia shaft fracture

2017 ◽  
Vol 51 (6) ◽  
pp. 478-481
Author(s):  
Adel Ebrahimpour ◽  
Mohammad-Ali Okhovatpour ◽  
Mehrdad Sadighi ◽  
Amir-Hossein Sarejloo ◽  
Mohammad-Reza Minator Sajjadi
Keyword(s):  
Intramedullary Nailing ◽  
Shaft Fracture ◽  
Comparative Investigation ◽  
Tibia Shaft Fracture ◽  
Tibia Shaft

scholarly journals Clinical and Radiographic Comparisons of Distal Tibia Shaft Fractures Stabilized with an Intramedullary Nail: Blocking Pin Versus Blocking Screw

2020 ◽  
Author(s):  
Haotian Wu ◽  
Xiaodong Bai ◽  
Zhaohui Song ◽  
Shuangquan Yao ◽  
Song Liu ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Operating Time ◽  
Distal Tibia ◽  
Healing Time ◽  
Coronal Plane ◽  
Shaft Fractures ◽  
Loss Of Reduction ◽  
Tibia Shaft Fractures ◽  
Tibia Shaft ◽  
Final Alignment

Abstract Background: Distal tibia shaft fractures have a high risk of mal-alignment when treated with intramedullary nailing (IMN). Permanent blocking screws (BSs) and temporary blocking pins (BPs) are often used as supplements to help IMN get good alignment. The purpose of this study was to compare the clinical and radiographic outcomes of temporary BPs and permanent BSs for distal tibia shaft fractures.Methods: From March 2014 to May 2019, a total of 89 patients with distal tibia shaft fractures were included in this retrospective study and divided into two groups. All fractures were located below the isthmus but 4 cm above the tibial plafond. The differences in operating time, intraoperative bleeding, fibula plate fixation, number of BP/BS, initial and final alignment, loss of reduction, fracture healing time, and postoperative complications were analyzed. Functional outcomes of the ankle were assessed with the American Orthopedic Foot and Ankle Society (AOFAS) score.Results: All patients underwent a minimum follow-up of 13 months. The operating time was (73.9±6.1) min and (80.2±8.6) min in the BP group and BS group, respectively (P < 0.05); intraoperative bleeding was (88.2±18.0) mL and (92.9±26.6) mL, respectively (P > 0.05); initial reduction deformity in coronal plane was (0.5±2.3) degrees and (0.9±2.3) degrees, respectively (P > 0.05); final alignment deformity in coronal plane was (1.2±2.7) degrees and (1.3±2.4) degrees, respectively (P > 0.05); initial reduction deformity in sagittal plane was (0.6±2.2) degrees and (0.6±2.4) degrees, respectively (P > 0.05); final alignment deformity in sagittal plane was (0.9±2.3) degrees and (1.0±2.2) degrees, respectively (P > 0.05); As for the loss of reduction, there was no significant difference in sagittal plane between the two groups(P > 0.05). Although the loss of reduction in the coronal plane of the BP group (0.8±0.7 degrees) is statistically higher than that of the BS group (0.5±0.5 degrees), the small difference was not clinically important (P < 0.05). No significant differences were found between the two groups in fracture healing time, AOFAS score and complications (P > 0.05).Conclusion: Both temporary BP and permanent BS can help achieve equivalent overall alignment. However, BP technique is simpler and takes less time.

scholarly journals Epidemiologic trends for isolated tibia shaft fracture admissions in The Netherlands between 1991 and 2012

2019 ◽  
Vol 46 (5) ◽  
pp. 1115-1122 ◽  
Author(s):  
Mandala S. Leliveld ◽  
Suzanne Polinder ◽  
Martien J. M. Panneman ◽  
Michael H. J. Verhofstad ◽  
Esther M. M. Van Lieshout
Keyword(s):  
The Netherlands ◽  
Incidence Rate ◽  
Shaft Fracture ◽  
Hospital Length Of Stay ◽  
Trauma Mechanism ◽  
Age And Gender ◽  
Tibia Shaft Fracture ◽  
Operation Rate ◽  
And Gender ◽  
Tibia Shaft

Abstract Introduction Population-based knowledge on the occurrence of specific injuries is essential for the allocation of health care services, optimization of preventive measures, and research purposes. Therefore, the aim of this study was to examine long-term nation-based trends in the incidence rate, trauma mechanism, hospital length of stay (HLOS), treatment, and outcome of hospital-admitted patients with an isolated tibia shaft fracture between 1991 and 2012 in The Netherlands. Methods All hospital-admitted patients in The Netherlands between 1991 and 2012 with an isolated tibia shaft fracture were included. Age and gender-standardized incidence rates were calculated for each year. Data were extracted from the National Medical Registration. Results The incidence rate for men decreased to 13.8/100,000 person years (py). For women the incidence rate remained stable with 7.2/100,000 py. Incidence showed a peak for adolescent men (15–19 years), and increased in both genders from 65 years onwards. Since 1993 the mean HLOS for isolated tibia fractures reduced from 10.8 to 5.4 days. Mean HLOS increased with age. Mean years lived with disability (YLD) was 4.5 years, declined linearly with age, and showed no gender effect. Conclusions In 22 years, the incidence rate of hospital admitted patients with an isolated tibia shaft fracture in The Netherlands dropped with 12%, which was mainly attributable to a 15% decline among men. Incidence rate, trauma mechanism, and HLOS were age and gender related. HLOS also reduced over time. Operation rate and YLD were only age related.

Sign in / Sign up

Export Citation Format

Share Document