scholarly journals DETERMINATION OF THE EFFICACY OF SUPRAPATELLAR APPROACH FOR INTRAMEDULLARY NAILING OF PROXIMAL TIBIAL FRACTURES

2020 ◽  
pp. 60-74
Author(s):  
A.V. Kalashnikov ◽  
I.E. Chip ◽  
O.V. Kalashnikov
Keyword(s):  
Intramedullary Nailing ◽  
Efficient Method ◽  
Traditional Approach ◽  
Practical Importance ◽  
Injury Rate ◽  
Tibial Fractures ◽  
Proximal Tibial Fractures ◽  
Significant Difference ◽  
Suprapatellar Approach ◽  
Im Nailing

Summary. The topicality of the research is predetermined by the high frequency of adverse functional results after PTF (proximal tibial fractures) treatment, like deforming osteoarthritis, contractures, knee joint instability developing fairly often in the distant period and occurring in 5.8% to 28% of cases; disability rate up to 5.9-9.1%. The mater of a traditional approach to an intramedullary nail insertion point versus the suprapatellar one for FPRTB intramedullary nailing is still under discussion. Objective: To specify the efficacy of suprapatellar approach for IM nailing in patients with PTF. Materials and methods: prospective and retrospective analysis of the efficiency of 30 PTF patients’ treatment at the clinic of the State Institution “ITO NAMN of Ukraine” and at the traumatology department of KNMP “Globinskaya CRН” within 2016-2017, using both suprapatellar and traditional accesses. Their outcomes have been evaluated after their fractures consolidation (1 year after the start of the treatment) according to the Neer-Grantham-Shelton scale. Results. The IM nailing from the suprapatellar access has shown itself to be the most efficient method for proximal tibial fractures management. The share of excellent results reached 60%, demonstrating statistically significant difference (p ≤ 0.01) from those of patients cured from a traditional access; there were only 20% of satisfactory results. No poor results were reported. Practical importance: the study proves the expediency of suprapatellar access in IM nailing of PTF and the need for wider implementation of the method within the territory of Ukraine. Conclusions. Considering the low injury rate and ensuring potentially better bone fragments reposition, the suprapatellar access in IM nailing is the most efficient method for PTF management.

scholarly journals Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures

2012 ◽  
Vol 20 (3) ◽  
pp. 307-311 ◽  
Author(s):  
Sunil G Kulkarni ◽  
Ankit Varshneya ◽  
Shreenath Kulkarni ◽  
Govind S Kulkarni ◽  
Milind G Kulkarni ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Tibial Fractures ◽  
Proximal Tibial 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.

Infrapatellar vs. suprapatellar approach to obtain an optimal insertion angle for intramedullary nailing of tibial fractures

2017 ◽  
Vol 44 (6) ◽  
pp. 927-938 ◽  
Author(s):  
Joerg Franke ◽  
Annika Homeier ◽  
Lars Metz ◽  
Thilo Wedel ◽  
Volker Alt ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Tibial Fractures ◽  
Insertion Angle ◽  
Suprapatellar Approach

The Oblique Proximal Interlocking Screw for Intramedullary Nailing Proximal Tibial Fractures: Is It Safe?

2011 ◽  
Vol 46 (2) ◽  
pp. 140
Author(s):  
Dong Ki Ahn ◽  
Dae Jung Choi ◽  
Jin Hak Kim ◽  
Jung Soo Lee ◽  
Jong Hwa Yang ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Tibial Fractures ◽  
Proximal Tibial Fractures

scholarly journals Comparison of intramedullary nailing fixation and percutaneous locked plating fixation for the treatment of proximal tibial fractures: A meta-analysis

2021 ◽  
Vol 29 (2) ◽  
pp. 230949902110243
Author(s):  
Cheng Ren ◽  
Ming Li ◽  
Liang Sun ◽  
Zhong Li ◽  
Yibo Xu ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Meta Analysis ◽  
Weight Bearing ◽  
Tibial Fractures ◽  
Fixation Method ◽  
Cochrane Library ◽  
Full Weight Bearing ◽  
Locked Plating ◽  
Fixation Group ◽  
Proximal Tibial Fractures

Objective: This meta-analysis aimed to systematically compare the clinical outcomes of intramedullary nailing (IMN) fixation and percutaneous locked plating (PLP) fixation in the treatment of proximal tibial fractures. Methods: We searched PubMed, Embase, Cochrane library, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), and Wan Fang to select relevant articles up to March 29, 2020 without language limit. Continuous variables were estimated by weighted mean difference (WMD) with a 95% confidence interval (CI) and dichotomous outcomes were calculated by relative risk (RR) with 95% CI. Moreover, heterogeneity analysis was evaluated. Furthermore, publication bias assessment and sensitivity analysis were conducted. Stata 11.0 software was used to perform the statistical analysis. Results: Ten studies involving 667 cases (321 from IMN fixation group and 346 from PLP fixation group) were included. The type of fractures involved in the included articles was extra-articular proximal tibia fractures. IMN fixation method achieved significantly shorter union time ( WMD = −2.88, 95% CI: −3.23 to −2.53, p < 0.001) and full weight-bearing time ( WMD = −2.81, 95% CI: −3.64 to −1.97, p < 0.001) than PLP fixation method. Meanwhile, IMN fixation resulted in lower risks of infection ( RR = 0.50, 95% CI: 0.27 to 0.91, p = 0.02) and total complications ( RR = 0.36, 95% CI: 0.22 to 0.60, p < 0.001) than PLP fixation. No significant differences were found in the incidence of nonunion ( p = 0.33), malunion ( p = 0.38), and osteofascial compartment syndrome (OCS, p = 0.62) between the two groups. Conclusions: Compared to PLP fixation, IMN fixation had several advantages in treating proximal tibial fractures, including the short time of union and full weight-bearing, as well as a low risk of infection and total complications.

FUNCTIONAL OUTCOME OF TIBIAL FRACTURES TREATED BY INTERLOCKING NAILING THROUGH SUPRAPATELLAR APPROACH – A PROSPECTIVE AND RETROSPECTIVE STUDY

2021 ◽  
pp. 54-55
Author(s):  
Dinesh Loganathan ◽  
Shivakumar Jeyarajan ◽  
B. Sivaraman ◽  
M. Venkataraman
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Motor Vehicle ◽  
Operating Time ◽  
Tibial Fractures ◽  
Good Reduction ◽  
Vehicle Accidents ◽  
Suprapatellar Approach ◽  
The Mean ◽  
Both Bones

The aim of this prospective study is to analyse the functional and radiological outcome of tibial fractures treated by intramedullary nailing through supra patellar approach.15 patients with tibial fractures were operated by intramedullary nailing through suprapatellar approach. Oxford knee scoring system was done to evaluate the functional outcome. Serial radiographs were taken to assess the fracture union at 2 weeks, 6 weeks and 12 weeks. Fifteen patients (male 11 female 4) with fracture both bones leg i Results : ncluded in our study. The most common cause was motor vehicle accidents (9 cases), self limiting fall (4 cases), assault (2 cases). The mean age was 45 years. All fractures united at a mean period of 3.5 months. To conclude, Suprapatellar tibial nailing has the benets of decreased operating time, good ouroscopy visualisation, minimal blood loss and ability to achieve and maintain good reduction throughout the procedure.

Sign in / Sign up

Export Citation Format

Share Document