Clinical Performance of Intramedullary Nailing system for Tibia Fractures: A Retrospective study

Background: The tibia, or shinbone, is the common fracture long bone in body. There are two option includes, reamed and unreamed of surgical treatment of fractures. Reamed nail has some advantage but they significantly harmful the endosteal circulation. Unreamed nail surplus the endosteal circulation but provide a less stable fixation. Afterward, because of ability to lock the nail proximally and distally, closed intramedullary nailing turned into an acknowledged treatment for closed shaft cracks during the ninth decade. Aim: The main objective is to treat the tibia fractures by implanting the Intramedullary nailing system (Interlocking cannulated tibia nail and Expert tibia nail) manufactured by Auxein Medical Private Limited, Sonipat, India. Material and Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture. Results: The outcomes of clinical treatment were obtained in our study; No pain (92%), Mild pain (8%) after 2 year follow up. The follow up of patients were taken on 4-week, 1-year, 2-year according to VAS score. Paired t test was performed for statistical data analysis using Minitab and values of p<.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending, corrosion etc. Conclusion: Our outcomes with interlocking cannulated and Expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes.

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Clinical performance of intramedullary nailing system for tibia fractures: a retrospective study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211400 ◽

2021 ◽

Vol 7 (3) ◽

pp. 573

Author(s):

Shashank Mishra ◽

Mohit Kumar ◽

Prashant Kumar ◽

Gaurav Luthra

Keyword(s):

Retrospective Study ◽

Statistical Data ◽

Clinical Performance ◽

Tibia Fracture ◽

Statistical Data Analysis ◽

Analog Scale ◽

Ao Classification ◽

Tibia Fractures

Background: In this study, we aimed to investigate the performance of the intramedullary tibia nailing system while treating the tibia fracture fixation.Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11 male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture.Results: The outcomes of clinical treatment were obtained in our study; no pain (92%), mild pain (8%) after 2 year follow up. The follow up of patients were taken on 1 month, 6 months, 1 year and 2 years according to visual analog scale (VAS) score. Paired t test was performed for statistical data analysis using minitab and values of p<0.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending and corrosion.Conclusions: Our outcomes with interlocking cannulated and expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes.

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Results of surgical treatment of fractures of the distal humerus at the Brazzaville university hospital

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20191785 ◽

2019 ◽

Vol 5 (3) ◽

pp. 465

Author(s):

Monka Marius ◽

Ohoya Etsaka Terence Olivier ◽

Massouama Regis ◽

Ngatsé-Oko Albert ◽

Moyikoua Armand

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Functional Results ◽

Distal Humerus ◽

Road Accident ◽

University Hospital ◽

Inclusion Criteria ◽

Ao Classification

Background: The objective of the study was to evaluate the functional and anatomical results of the surgical treatment of fractures of the distal humerus at Brazzaville University Hospital using non-anatomical plates.Methods: This was a retrospective study of patients operated by screwed plates for fracture of the distal humerus at Brazzaville University Hospital between January 2014 and December 2017. The study included 11 patients operated by non-anatomical plates and responding the inclusion criteria. Fractures of the distal humerus were distributed according to the AO classification of Müller and Nazarian. The functional results were evaluated according to the Mayo Clinic score based on 4 criteria: pain, mobility bow, stability and functional capacity.Results: There were 8 men and 3 women. The average age was 35 years (range 23 to 50 years). Causes of the trauma were a road accident in 7 patients and a fall in 4 patients. The site involved in the trauma was lateral right in 7 patients and left in 4 patients. The average time to surgery was 7 days (range 5 to 12 days). All our patients have consolidated in first intention. The average time to consolidation was 3 months (range 3 to 4 months). Results at the average follow-up of 9 months were considered excellent in 3 patients, good in 6 patients and average in 2 patients.Conclusions: Osteosynthesis of fractures of the distal humerus remains a challenge in developing countries. Our experience shows that surgical treatment of fractures of the distal humerus by non-anatomic plates can give good results when bone stabilization is satisfactory and rehabilitation is undertaken early.

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Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation

Journal of Clinical Medicine ◽

10.3390/jcm8081119 ◽

2019 ◽

Vol 8 (8) ◽

pp. 1119 ◽

Cited By ~ 2

Author(s):

Gianluca Testa ◽

Andrea Vescio ◽

Domenico Costantino Aloj ◽

Giacomo Papotto ◽

Luigi Ferrarotto ◽

...

Keyword(s):

External Fixation ◽

Intramedullary Nailing ◽

Gold Standard ◽

Femoral Shaft ◽

Bone Union ◽

Definitive Treatment ◽

Ao Classification ◽

Femoral Shaft Fractures ◽

Shaft Fractures

Background: Femoral shaft fractures result from high-energy trauma. Despite intramedullary nailing (IMN) representing the gold standard option of treatment, external fixation (EF) can be used temporarily for damage control or definitively. The purpose of this study is to compare two different options, anterograde IMN and monoaxial EF, for the treatment of femoral shaft fractures. Methods: Between January 2005 and December 2014, patients with femoral shaft fractures operated on in two centers were retrospectively evaluated and divided into two groups: the IMN group (n = 74), and the EF group (n = 73). For each group, sex; laterality; age; and AO classification type mean follow-up, mean union time, and complications were reported. Results: Both groups were found to have no statistical differences (p > 0.05) in sex, laterality, age, and AO classification types. In the IMN group the average surgery duration was 79.7 minutes (range 45–130). The average time for bone union was 26.9 weeks. Major complications occurred in 4 (5.4%) patients. In the EF group the average follow-up duration was 59.8 months (range 28–160). The average time for bone union was 24.0 weeks. Major complications occurred in 16 (21.9%) patients. Conclusions: IMN is the gold standard for definitive treatment of femoral shaft fractures. In patients with severe associated injuries, EF should be a good alternative.

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The AO classification of long bone fractures: an early study of its use in clinical practice

Injury ◽

10.1016/0020-1383(93)90052-8 ◽

1993 ◽

Vol 24 (5) ◽

pp. 309-312 ◽

Cited By ~ 29

Author(s):

M.L. Newey ◽

D. Ricketts ◽

L. Roberts

Keyword(s):

Clinical Practice ◽

Bone Fractures ◽

Long Bone ◽

Ao Classification ◽

Long Bone Fractures

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Complex Articular Fractures of the Distal Radius: The Role of Closed Reduction and External Fixation

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193408087092 ◽

2008 ◽

Vol 33 (3) ◽

pp. 305-310 ◽

Cited By ~ 11

Author(s):

A. BINI ◽

M. F. SURACE ◽

G. PILATO

Keyword(s):

Retrospective Study ◽

External Fixation ◽

Distal Radius ◽

Functional Results ◽

Ao Classification ◽

Radial Inclination ◽

Articular Fractures ◽

Acceptability Criteria

Twenty-two patients underwent surgery for 23 complex articular fractures of the distal radius of C.3 type, according to the AO classification. The surgical treatment consisted, in all cases, of a closed, or limited-open, reduction and external fixation. The functional and radiographic results were analysed at a mean follow-up of 40 months. This retrospective study confirms that satisfactory functional results where obtained in 12 out of the 15 wrists where all the intra and extra-articular parameters of the Fernandez’ criteria where respected. For those wrists where keeping with Fernandez’ criteria for intra-articular parameters and ulnar variance was not possible, four of eight had satisfactory results. As far as the acceptability criteria for radial inclination and dorsal tilt are concerned, the functional results seem to suggest that a little wider tolerance than proposed in the literature could be accepted.

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A Clinical Experience of Closed Intramedullary Nailing for Long Bone Fracture

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.1982.17.6.1171 ◽

1982 ◽

Vol 17 (6) ◽

pp. 1171

Author(s):

Chang Uk Choi ◽

Hak Hyun Kim ◽

Yon II Kim ◽

Sa Sang Chang ◽

Jae Quk Joo

Keyword(s):

Intramedullary Nailing ◽

Clinical Experience ◽

Bone Fracture ◽

Long Bone ◽

Long Bone Fracture ◽

Closed Intramedullary Nailing

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Management of Tibia Fracture by Closed Intramedullary Nailing

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.1994.29.4.1255 ◽

1994 ◽

Vol 29 (4) ◽

pp. 1255

Author(s):

Won Sik Choy ◽

Hung Dae Shin ◽

Whoan Jeong Kim ◽

Kwang Woo Lee ◽

Tae Woo Park

Keyword(s):

Intramedullary Nailing ◽

Tibia Fracture ◽

Closed Intramedullary Nailing

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A STUDY ON OUTCOME OF SURGICAL TREATMENT OF COMPOUND TIBIA FRACTURES BY INTRAMEDULLARY NAILING AFTER PRELIMINARY EXTERNAL FIXATION – SHORT TERM RETROSPECTIVE AND PROSPECTIVE ANALYSIS

10.36106/ijsr/6800989 ◽

2021 ◽

pp. 19-21

Author(s):

Suresh Kumar Thirugnanam ◽

Sudhakar Ramasamy

Keyword(s):

Surgical Treatment ◽

Functional Outcome ◽

Intramedullary Nailing ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Prospective Analysis ◽

Short Term ◽

Tibia Fractures ◽

Grade Iii

About 23% of all tibial fractures are open and most of these are Gustilo grade III. This study was done to evaluate the functional outcome of surgical treatment of compound tibia fractures by intramedullary nailing after preliminary external xation as a short term retrospective and prospective analysis. From February 2012 to November 2013, a short term retrospective and prospective analysis was done in The Institute of Orthopedics & Traumatology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai. We did secondary interlocking nailing after preliminary external xation for grade II to grade III B open tibia fractures in 31 patients for 31 fractures (Box 1 shows the inclusion and exclusion criteria). Out of these 31 patients, we lost follow-up of 4 patients and analyzed the results with the average follow-up of 12 months and minimum follow up of 5 months. Data was tabulated and analysed using Microsoft excel 2003. Functional outcome of secondary intra medullary nailing after external xation was far better than in primary interlocking with primary closure in our institution. Although the supercial infection is there and there is delay in denitive procedure in the management of compound fractures, this can be improved by early surgical intervention, timely secondary procedures and accurate assessment of soft tissue injury. The nal outcome is mainly depends on the age of the patient, time of admission since injury, type of injury.

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Survival and Success of ITI Implants and Prostheses: Retrospective Study of Cases with 5-Year Follow-Up

European Journal of Dentistry ◽

10.1055/s-0039-1697404 ◽

2009 ◽

Vol 03 (01) ◽

pp. 42-49 ◽

Cited By ~ 20

Author(s):

Bilge Gokcen-Rohlig ◽

Mehmet Yaltirik ◽

Senem Ozer ◽

Ebru Demet Tuncer ◽

Gulumser Evlioglu

Keyword(s):

Retrospective Study ◽

Clinical Performance ◽

Survival Rates ◽

Success Rates ◽

Sample Number ◽

Dental Prostheses ◽

Osseointegrated Implants ◽

Material Fracture ◽

Observation Period

ABSTRACTObjectives: The use of osseointegrated implants as an endoestal anchorage device to provide support for dental prostheses is a reliable and widely accepted treatment modality. The purpose of this study was to evaluate the clinical performance of non-submerged implants placed in the maxilla or in the mandible.Methods: A total of 146 International Team for Implantology (ITI) (Straumann AG, Waldenburg, Switzerland) implants were placed in 42 patients (20 women, 22 men, mean age 42). The cases were examined retrospectively in order to evaluate the clinical efficiency of non-submerged ITI implants and to determine the success rate of implant retained/supported prosthesis after a 5-year period. All implants were assessed clinically and radiographically on a yearly basis.Results: The 5-year cumulative success rates for maxillary and mandibular implants were 91.00% and 97.81%, respectively. The most common prosthetic complication was abutment accompanied by screw loosing (3.42%). Veneering material fracture was documented in only one patient.Conclusions: Within the limitations of the observation period and sample number, the present findings confirmed sufficient success and survival rates of ITI implants placed in mandible as well as implants placed in the maxilla after a 5-year period. (Eur J Dent 2009;3:42-49)

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