Anterior Knee Pain After Intramedullary Nailing of Fractures of the Tibial Shaft

Toivanen, Jarmo; Väistö, Olli; Kannus, Pekka; Latvala, Kyösti; Honkonen, Seppo E.; Järvinen, Markku

doi:10.2106/00004623-200204000-00011

Cited by 196 publications

(39 citation statements)

References 13 publications

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“…Furthermore, interlocking nails had either dynamic holes allowing fracture compression during weight bearing, or static holes providing greater stability without allowing fracture compression. Since then the main design elements of nails have not changed significantly, although different insertion approaches have been used to improve surgical outcomes (Tornetta and Collins, 1996; Court-Brown et al, 1997; Keating et al, 1997; Tornetta et al, 1999; Toivanen et al, 2002). Titanium was introduced as an alternative because its material properties more closely replicate the modulus of elasticity of normal bone, in an effort to promote more uniform and rapid union.…”

Section: How This Knowledge Has Influenced Clinical Practicementioning

confidence: 99%

A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing

2017

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In order to achieve consistent and predictable fracture healing, a broad spectrum of growth factors are required to interact with one another in a highly organized response. Critically important, the mechanical environment around the fracture site will significantly influence the way bone heals, or if it heals at all. The role of the various biological factors, the timing, and spatial relationship of their introduction, and how the mechanical environment orchestrates this activity, are all crucial aspects to consider. This review will synthesize decades of work and the acquired knowledge that has been used to develop new treatments and technologies for the regeneration and healing of bone. Moreover, it will discuss the current state of the art in experimental and clinical studies concerning the application of these mechano-biological principles to enhance bone healing, by controlling the mechanical environment under which bone regeneration takes place. This includes everything from the basic principles of fracture healing, to the influence of mechanical forces on bone regeneration, and how this knowledge has influenced current clinical practice. Finally, it will examine the efforts now being made for the integration of this research together with the findings of complementary studies in biology, tissue engineering, and regenerative medicine. By bringing together these diverse disciplines in a cohesive manner, the potential exists to enhance fracture healing and ultimately improve clinical outcomes.

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Section: How This Knowledge Has Influenced Clinical Practicementioning

confidence: 99%

A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing

2017

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“…No technical difficulties were encountered with any of the nails. Proper seating was considered to have been achieved when the proximal end of the nail was just beneath the tibial tuberosity [8,19]. All nails were slightly rotated laterally (externally) during their insertion.…”

Section: Methodsmentioning

confidence: 99%

Proximal Locking in Intramedullary Tibial Nailing: A Cadaveric Study

2003

Osteosynthesis and Trauma Care

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“…Although the case for this technique has been strengthened by the introduction of locking screws to maintain fracture length, alignment and rotation, there are concerns about nail use in distal segment fractures because of several technical limitations that make fracture reduction and stable fixation difficult [9].…”

Section: Original Research Articlementioning

confidence: 99%

Surgical management of fracture shaft tibia with closed interlocking intramedullary nailing – A clinical study

et al. 2020

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Introduction:The tibia being the most commonly fractured long bone. A study was conducted to analyze the efficacy of closed intramedullary nailing tibial shaft fractures. Materials and methods: Study was conducted in the Department of orthopedics. Individuals with closed tibial diaphyseal fractures of >18 years, open diaphyseal fractures of tibia type I, type II were included. Open diaphyseal fractures of tibia Type III A, B, C, tibial fractures with intraarticular extensions and medically ill were excluded. Under spinal anesthesia, intramedullary locking was done as per the protocol. Results: During the study period, 50 fractures were included. the male-female ratio was 5.25. The youngest patient was 19 years and the oldest patient was 67 years. 60% of the participants had right tibial fractures and 40% with left. Thirty-nine (78%) participants simple and 22% (11) had type I and type 11 compound fractures. The majority of fractures (58%; 29) were united within 18-20 weeks.

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Anterior Knee Pain After Intramedullary Nailing of Fractures of the Tibial Shaft

Cited by 196 publications

References 13 publications

A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing

A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing

Proximal Locking in Intramedullary Tibial Nailing: A Cadaveric Study

Surgical management of fracture shaft tibia with closed interlocking intramedullary nailing – A clinical study

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