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International Orthopaedics
Published in: International Orthopaedics 6/2003

01-12-2003 | Original Paper

Distal tibial fractures and non-unions treated with shortened intramedullary nail

Authors: P. Megas, P. Zouboulis, A. X. Papadopoulos, A. Karageorgos, E. Lambiris

Published in: International Orthopaedics | Issue 6/2003

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Abstract

We reviewed 18 patients, 14 with acute fractures and four with non-union of the distal tibia, treated between 1990 and 2001 with a shortened, reamed intramedullary nail. The mean follow-up was 38 (8–144) months. The fractures united at an average of 16 (12–18) weeks and the non-unions at 20 (12–30) weeks. Two patients required nail dynamization. No limb shortening nor material failures were seen. All patients returned to normal daily activities. Although technically demanding, intramedullary nailing for distal tibial fractures and non-unions with a shortened nail represents a safe and reliable method.
Literature
1.
Bonnevialle P, Savoti L, Combes JM, Rongieres M, Bellumore Y, Mansat M (1996) Value of intramedullary locked nailing in distal fractures of the tibia. Rev Chir Orthop Reparatrice Appar Mot 82: 428–436PubMed
2.
Court-Brown CM, Christie J, McQueen MM (1990) Closed intramedullary tibial nailing: its use in closed and type I open fractures. J Bone Surg [Br] 72:605–611
3.
Dogra AS, Ruiz AL, Thompson NS, Nolan PC (2000) Dia-metaphyseal distal tibial fractures—treatment with a shortened intramedullary nail: a review of 15 cases. Injury 31:799–804CrossRefPubMed
4.
Duda GN, Mandruzzato F, Heller M, Goldhahn J, Moser R, Hehli M, Claes L, Haas NP (2001) Mechanical boundary condition of fracture healing: borderline indications in the treatment of undreamed tibial nailing. J Biomech 34:639–650CrossRefPubMed
5.
Gorczyca JT, McKale J, Pugh K, Pienkowski D (2002) Modified tibial nails for treating distal tibia fractures. J Orthop Trauma 16:18–22CrossRefPubMed
6.
Kneifel T, Buckley R (1996) A comparison of one versus two distal locking screws in tibial fractures treated with undreamed tibial nails: a prospective randomized clinical trial. Injury 27:271–273CrossRefPubMed
7.
Konrath G, Moed BR, Watson JT, Kaneshiro S, Karges DE, Cramer KE (1997) Intramedullary nailing of unstable diaphyseal fractures of the distal intra-articular involvement. J Orthop Trauma 11:200–205CrossRefPubMed
8.
Moscato M, Sabetta E, Tigani D, Mignani G, Specchia L, Boriani S (1991) Grosse-Kempf nailing in fractures of the tibia. Ital J Orthop Traumatol 17:313–320PubMed
9.
Robinson CM, McLaughlan GJ, McLean IP, Court-Brown CM (1995) Distal metaphyseal fractures of the tibia with minimal involvement of the ankle. Classification and treatment by locked intramedullary nailing. J Bone Joint Surg [Br] 77:781–787
10.
Trafton GG (1998) Tibial shaft fractures. In: Skeletal Trauma, Browner BD, Levine AM, Jupiter JB, et al (eds) Saunders, Philadelphia
11.
Tyllianakis M, Megas P, Giannikas D, Lambiris E (2000) Interlocking intramedullary nailing in distal tibial fractures. Orthopedics 23:805–808PubMed
12.
Whittle P, Crates J, Wood GW, Duncan S (1997) Distal-fourth tibia fractures treated with locked intramedullary nailing: Does fibular fracture influence malalignment? OTA, Annual Meeting, Louisville, KY, USA p. 43
Metadata
Title
Distal tibial fractures and non-unions treated with shortened intramedullary nail
Authors
P. Megas
P. Zouboulis
A. X. Papadopoulos
A. Karageorgos
E. Lambiris
Publication date
01-12-2003
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2003
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-003-0499-9

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