Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures
PurposePostoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail trea...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.899483/full |
| _version_ | 1818246244484513792 |
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| author | Bin Peng Teng Wan Wenfu Tan Weiming Guo Min He |
| author_facet | Bin Peng Teng Wan Wenfu Tan Weiming Guo Min He |
| author_sort | Bin Peng |
| collection | DOAJ |
| description | PurposePostoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail treatment for distal tibial fractures.MethodsWe retrospectively studied 9 cases of patients with distal tibial fractures treated with retrograde intramedullary nailing (IMN). Fracture healing time was based on monthly postoperative x-ray imaging results, and functional outcomes were defined according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score.ResultsAmong the 9 patients with distal tibial fractures from July 2020 to April 2021, the mean age was 51.8 ± 13.8 years. The classification of distal tibial fractures in the 9 patients according to OTA (Orthopaedic Trauma Association) includes 6 extra-articular fractures (3 of type A1, 2 of type A2, and 1 of type A3) and 3 intra-articular fractures (1 of type C1 and 2 of type C2). Among them, there were 5 closed fracture cases and 4 open fracture cases (according to Gustilo classification: 2 of type I, 2 of type II). We treated the fractures surgically with new retrograde tibial intramedullary nailing. The mean follow-up time for this group was 7.9 months (5–12 months). According to monthly postoperative radiographs performed to monitor fracture healing, the mean healing time was 3.3 months (3–4 months). Final postoperative function according to the AOFAS ankle-hindfoot score shows 6 excellent cases, 3 good cases. No serious complications such as postoperative infection, bone and internal fixation exposure, osteofascial compartment syndrome, or vascular nerve injury occurred.ConclusionThe new retrograde tibial intramedullary nail (RTN) has some unique advantages, and its treatment of distal tibial fractures can achieve good efficacy, but further studies are still needed to verify it. |
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| format | Article |
| id | doaj.art-b9daf3d65a1f49829446c25fa46d5ef1 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-12T14:45:44Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-b9daf3d65a1f49829446c25fa46d5ef12022-12-22T00:21:07ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-05-01910.3389/fsurg.2022.899483899483Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial FracturesBin Peng0Teng Wan1Wenfu Tan2Weiming Guo3Min He4The Second Affiliated Hospital, Department of Orthopaedic Surgery, Hengyang Medical College, University of South China, Hengyang, Hunan, ChinaHengyang Medical College, University of South China, Hengyang, Hunan, ChinaThe Second Affiliated Hospital, Department of Orthopaedic Surgery, Hengyang Medical College, University of South China, Hengyang, Hunan, ChinaSports medicine department, Huazhong University of Science and Technology Union Shenzhen Hospital; the 6th Affiliated Hospital of Shenzhen University Health Science CenterShenzhen, ChinaThe Second Affiliated Hospital, Department of Orthopaedic Surgery, Hengyang Medical College, University of South China, Hengyang, Hunan, ChinaPurposePostoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail treatment for distal tibial fractures.MethodsWe retrospectively studied 9 cases of patients with distal tibial fractures treated with retrograde intramedullary nailing (IMN). Fracture healing time was based on monthly postoperative x-ray imaging results, and functional outcomes were defined according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score.ResultsAmong the 9 patients with distal tibial fractures from July 2020 to April 2021, the mean age was 51.8 ± 13.8 years. The classification of distal tibial fractures in the 9 patients according to OTA (Orthopaedic Trauma Association) includes 6 extra-articular fractures (3 of type A1, 2 of type A2, and 1 of type A3) and 3 intra-articular fractures (1 of type C1 and 2 of type C2). Among them, there were 5 closed fracture cases and 4 open fracture cases (according to Gustilo classification: 2 of type I, 2 of type II). We treated the fractures surgically with new retrograde tibial intramedullary nailing. The mean follow-up time for this group was 7.9 months (5–12 months). According to monthly postoperative radiographs performed to monitor fracture healing, the mean healing time was 3.3 months (3–4 months). Final postoperative function according to the AOFAS ankle-hindfoot score shows 6 excellent cases, 3 good cases. No serious complications such as postoperative infection, bone and internal fixation exposure, osteofascial compartment syndrome, or vascular nerve injury occurred.ConclusionThe new retrograde tibial intramedullary nail (RTN) has some unique advantages, and its treatment of distal tibial fractures can achieve good efficacy, but further studies are still needed to verify it.https://www.frontiersin.org/articles/10.3389/fsurg.2022.899483/fulldistal tibiafractureretrograde tibial intramedullary nailsurgeryretrospective study |
| spellingShingle | Bin Peng Teng Wan Wenfu Tan Weiming Guo Min He Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures Frontiers in Surgery distal tibia fracture retrograde tibial intramedullary nail surgery retrospective study |
| title | Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures |
| title_full | Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures |
| title_fullStr | Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures |
| title_full_unstemmed | Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures |
| title_short | Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures |
| title_sort | novel retrograde tibial intramedullary nailing for distal tibial fractures |
| topic | distal tibia fracture retrograde tibial intramedullary nail surgery retrospective study |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.899483/full |
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