Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures
Purpose. To evaluate outcome of intramedullary nailing supplemented with Poller screws for proximal tibial fractures using small diameter nails. Methods. 50 men and 20 women (75 fractures) aged 18 to 65 (mean, 33) years underwent intramedullary nailing supplemented with Poller screws for acutely dis...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2012-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901202000308 |
| _version_ | 1828909606862061568 |
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| author | Sunil G Kulkarni Ankit Varshneya Shreenath Kulkarni Govind S Kulkarni Milind G Kulkarni Vidhisha S Kulkarni Ruta M Kulkarni |
| author_facet | Sunil G Kulkarni Ankit Varshneya Shreenath Kulkarni Govind S Kulkarni Milind G Kulkarni Vidhisha S Kulkarni Ruta M Kulkarni |
| author_sort | Sunil G Kulkarni |
| collection | DOAJ |
| description | Purpose. To evaluate outcome of intramedullary nailing supplemented with Poller screws for proximal tibial fractures using small diameter nails. Methods. 50 men and 20 women (75 fractures) aged 18 to 65 (mean, 33) years underwent intramedullary nailing supplemented with Poller screws for acutely displaced fractures (n=60) or for delayed union (n=10) or mal-union (n=5) of the proximal metadiaphyseal tibia. 88% of the fractures were caused by road traffic accidents. 54 cases had closed fractures and 21 had grade I or II compound fractures. Clinical and radiological outcome was evaluated. Results. In 69 cases, healing occurred after a mean of 4.2 (range, 3–9) months. In 5 cases, there was nonunion, which was resolved by bone grafting. One case was mal-united. 63 patients recovered a full range of knee motion (0°–130°), and the remaining 7 attained flexion of 0° to 90°. According to the knee rating scale of the Hospital for Special Surgery, outcome was excellent in 50 patients, good in 14, poor in 3, and failed in 3 at month 12, and remained so after a mean follow-up of 30.8 months. Postoperatively, 74 cases had <5° of varus or valgus malalignment, and only one developed varus of +7°. 65 cases exhibited no deformity, 7 had a deformity of <3°, and 3 had a deformity of 4° to 9°. Conclusion. Poller screws help maintain fixation of intramedullary nailing and alignment of fractures. |
| first_indexed | 2024-12-13T18:29:54Z |
| format | Article |
| id | doaj.art-c747a0a17a0b4a0081e984880812f619 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-13T18:29:54Z |
| publishDate | 2012-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-c747a0a17a0b4a0081e984880812f6192022-12-21T23:35:30ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902012-12-012010.1177/230949901202000308Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial FracturesSunil G KulkarniAnkit VarshneyaShreenath KulkarniGovind S KulkarniMilind G KulkarniVidhisha S KulkarniRuta M KulkarniPurpose. To evaluate outcome of intramedullary nailing supplemented with Poller screws for proximal tibial fractures using small diameter nails. Methods. 50 men and 20 women (75 fractures) aged 18 to 65 (mean, 33) years underwent intramedullary nailing supplemented with Poller screws for acutely displaced fractures (n=60) or for delayed union (n=10) or mal-union (n=5) of the proximal metadiaphyseal tibia. 88% of the fractures were caused by road traffic accidents. 54 cases had closed fractures and 21 had grade I or II compound fractures. Clinical and radiological outcome was evaluated. Results. In 69 cases, healing occurred after a mean of 4.2 (range, 3–9) months. In 5 cases, there was nonunion, which was resolved by bone grafting. One case was mal-united. 63 patients recovered a full range of knee motion (0°–130°), and the remaining 7 attained flexion of 0° to 90°. According to the knee rating scale of the Hospital for Special Surgery, outcome was excellent in 50 patients, good in 14, poor in 3, and failed in 3 at month 12, and remained so after a mean follow-up of 30.8 months. Postoperatively, 74 cases had <5° of varus or valgus malalignment, and only one developed varus of +7°. 65 cases exhibited no deformity, 7 had a deformity of <3°, and 3 had a deformity of 4° to 9°. Conclusion. Poller screws help maintain fixation of intramedullary nailing and alignment of fractures.https://doi.org/10.1177/230949901202000308 |
| spellingShingle | Sunil G Kulkarni Ankit Varshneya Shreenath Kulkarni Govind S Kulkarni Milind G Kulkarni Vidhisha S Kulkarni Ruta M Kulkarni Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures Journal of Orthopaedic Surgery |
| title | Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures |
| title_full | Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures |
| title_fullStr | Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures |
| title_full_unstemmed | Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures |
| title_short | Intramedullary Nailing Supplemented with Poller Screws for Proximal Tibial Fractures |
| title_sort | intramedullary nailing supplemented with poller screws for proximal tibial fractures |
| url | https://doi.org/10.1177/230949901202000308 |
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