scholarly journals The efficacy and safety of small incision open reduction and intramedullary nail fixation surgery in the treatment of simple tibial shaft fracture

2021 ◽  
Author(s):  
chen shi ◽  
he shan hai ◽  
zhang xiao lei ◽  
xu chun cheng ◽  
yang jian cheng ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Intramedullary Nail ◽  
Closed Reduction ◽  
Open Reduction ◽  
Shaft Fracture ◽  
Control Group ◽  
Tibial Shaft Fracture ◽  
Observation Group ◽  
Tibial Shaft ◽  
Small Incision

Abstract Objective: To explore the clinical efficacy and safety of small incision open reduction and intramedullary nail internal fixation surgery in the treatment of simple tibial shaft fracture compared to the closed reduction surgery. Methods: A total of fifty patients with simple tibial shaft fractures admitted to our hospital were randomly and equally assigned into the observation group and the control group. Patients in the observation group received small incision open reduction surgery with intramedullary nail while patients in the control group received the closed reduction surgery. The clinical efficacy, prognosis as well as safety profile were compared between the two groups. Results: Our data indicated that the average bleeding volume of patients in the observation group was increased while the operation time was decreased compared to the control group. No significant difference of postoperative complications, fracture healing time, and Johner-Wruhs scores was identified between the two groups. Conclusion: The small incision open reduction surgery can significantly shorten the operation time while achieved a similar clinical efficacy compared to the closed reduction surgery in simple tibial shaft fracture.

scholarly journals Operative Choice for Open Tibial Shaft Fracture in Children: A Comparative Study of External Fixator Vs. Elastic Stable Intramedullary Nail

2021 ◽  
Author(s):  
Pan Hong ◽  
Saroj Rai ◽  
Xin Tang ◽  
Ruikang Liu ◽  
Jin Li
Keyword(s):  
Clinical Outcomes ◽  
External Fixator ◽  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Fractures ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Elastic Stable Intramedullary Nail ◽  
Open Tibial Fractures ◽  
Significant Difference

Abstract IntroductionExternal fixator (EF) is a preferred choice for open tibial fractures, but pin tract infection (PTI) and refracture are common complications. Elastic stable intramedullary nail (ESIN) has been reported in the treatment for open tibial fractures. This study aims to compare the clinical outcomes of EF vs. ESIN in the treatment for open tibial shaft fracture in children retrospectively.Material and methodsPatients aged 5-11 years old with Gustilo-Anderson II and IIIA tibial shaft fracture treated at our institute from January 2008 to January 2018 were reviewed retrospectively and categorized into EF (n = 55) and ESIN (n = 37) group. Patients with pathological fracture, neuromuscular disorder, metabolic disease, previous tibial fracture or instrumentation, and polytrauma were excluded. Patients with follow up less than 24 months or incomplete medical records were also excluded. ResultsIn all, fifty-five patients (33 males, 22 females) were included in the EF group, whereas 37 patients (21 males, 16 females) were included in the ESIN group. There was no significant difference between the two groups concerning sex, age, body weight, duration from injury to surgery, Gustilo-Anderson (GA) classification, and concomitant injuries. There was no patient of nonunion and malunion in either group. The incidence of implant prominence was higher in the ESIN group (16%) than those in the EF group (0), P < 0.001. The angulation was higher in the EF group than ESIN group in coronal and sagittal plane, P < 0.001. The radiological union was faster in the ESIN group (7.0 ± 0.9, weeks) than those in the EF group (9.0 ± 2.2), P < 0.001. Limb length discrepancy (LLD) was significantly longer in the EF group (12.1 ± 4.4, mm) than those in the ESIN group (7.3 ± 4.3, mm), P < 0.001. ConclusionESIN is a viable option in selected patients of GA grade II and IIIA open tibial fractures with comparable clinical outcomes as external fixator, but with less complications including superficial infection, residual angulation and refracture after hardware removal.

scholarly journals Result of closed interlocking intramedullary nail in tibial shaft fracture

2019 ◽  
Vol 3 (1) ◽  
pp. 67-69
Author(s):  
Dr. Bhavesh R Namsha ◽  
Dr. Udaygiri H Meghnathi ◽  
Dr. Alizayagam N Hasan
Keyword(s):  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Interlocking Intramedullary Nail

scholarly journals Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Wenxia Wang ◽  
Xiaoyong Zheng ◽  
Zuoyong Sun
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Fracture Healing ◽  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Control Group ◽  
Observation Group ◽  
Elastic Stable Intramedullary Nail

Objective: To compare and analyze the clinical effects of internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Methods: A total of 120 children with femoral shaft fractures who were admitted to our hospital from December 2016 to April 2018 were enrolled. The children were divided into an observation group and a control group by random number table, with 60 children in each group. The children in the observation group underwent internal fixation of minimally invasive elastic stable intramedullary nail, while those in the control group underwent open reduction based on internal fixation of plate. The surgical status and postoperative complications of the two groups were observed and compared, and Kolmert knee function scoring criteria were used for assessing the surgical effects of children. Results: The operation duration, intraoperative blood loss, hospitalization duration, fracture healing time and time of off-bed loaded activity of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P<0.05). The excellent and good rate of fracture healing in the observation group was 100%, which was higher than that of the control group, 83.33%, and the difference was statistically significant (P<0.05). The total incidence rate of complications in the observation group was 8.33%, which was lower than that of the control group, 10.00%, but the difference was not statistically significant (P>0.05). Conclusion: Pediatric femoral shaft fractures can be treated with internal fixation of minimally invasive elastic intramedullary nail, and it has advantages of significant curative effect, small trauma and fast postoperative recovery, which is conducive to fracture healing and worth promoting. doi: https://doi.org/10.12669/pjms.35.5.513 How to cite this:Wang W, Zheng X, Sun Z. Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Pak J Med Sci. 2019;35(5):---------.   doi: https://doi.org/10.12669/pjms.35.5.513 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Treatment with Unleamed Interlocking Intramedullary Nail for Tibial Shaft Fracture

1996 ◽  
Vol 9 (2) ◽  
pp. 466
Author(s):  
Hyung Ku Yoon ◽  
Kwang Pyo Jeon ◽  
Dae Eun Jung ◽  
Ho Seung Jeon ◽  
Man Je Park
Keyword(s):  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Interlocking Intramedullary Nail

Influence of intramedullary nail diameter and locking mode on the stability of tibial shaft fracture fixation

2008 ◽  
Vol 129 (4) ◽  
pp. 525-531 ◽  
Author(s):  
Rainer Penzkofer ◽  
Michael Maier ◽  
Alexander Nolte ◽  
Geert von Oldenburg ◽  
Klaus Püschel ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Fracture Fixation ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Nail Diameter ◽  
The Stability

Treatment of Tibial Shaft Fracture Using Intramedullary Nail

1995 ◽  
Vol 8 (3) ◽  
pp. 566
Author(s):  
Dae-Young Han ◽  
Kyu-Hyun Yang ◽  
Young-Chul Cho ◽  
Myung-Koo Kim ◽  
Seong-Jin Park
Keyword(s):  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft
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