Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Çamurcu, Yalkın; Sofu, Hakan; Issın, Ahmet; Koçkara, Nizamettin; Genç, Erdinç; Çetinkaya, Mehmet

doi:10.5606/ehc.2017.55349

Cited by 10 publications

(15 citation statements)

References 12 publications

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“…To measure the lower extremity function in general, the Tegner Activity Score [14,23,26,53,77], Lower Extremity Functional Score [35], and Musculoskeletal Function Assessment [54] were used. The pooled analysis for the Tegner Activity score was 3.9 (95% C.I.…”

Section: General Function Lower Extremitymentioning

confidence: 99%

“…To measure ankle function, the following instruments were used: AOFAS ankle-hindfoot scoring system [67,77,78,82], Iowa Ankle Score (also known as Merchant and Dietz Ankle Function Score) [24,31,33,36,48], Olerud and Molander Ankle Score [36,76,82], Mazur Ankle Score [59], and Foot Function Index [54]. Pooled estimates for the AOFAS ankle-hindfoot scoring system and Iowa Ankle Score were 91 (95% CI 87-93) and 92 (95% CI 89-96) for the infrapatellar and suprapatellar technique, respectively.…”

Section: Ankle Functionmentioning

confidence: 99%

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Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

Leliveld

Verhofstad

Bodegraven

et al. 2020

Eur J Trauma Emerg Surg

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Purpose The aim of this systematic review was to compare knee pain and function after tibial nail insertion through an infrapatellar, semi-extended and suprapatellar technique. Methods A search was carried out to identify articles with an exact description of the method used for insertion of the tibial nail and description of the outcome parameters (knee pain or function). Data on study design, population, rate and severity of anterior knee pain and function scores were extracted. Pooled rates and scores were calculated. Results 67 studies with 3,499 patients were included. The pooled rate of patients with anterior knee pain was 38% (95% CI 32–44) after nail insertion through an infrapatellar approach and 10% (95% CI 1–26) after insertion through a suprapatellar approach. Pooled analysis was not possible for the semi-extended technique. Knee pain scores as measured by visual analogue score (0–10) ranged from 0.2 (95% CI − 0.1–0.5) for general knee pain to 3.7 (95% CI 1.3–6.1) for pain during kneeling. Pooled estimates for the Lysholm score were 87 points (range 77–97) for the infrapatellar technique and 85 points (range 82–85) for the suprapatellar technique. Iowa Knee scores were 94 (range 86–96) and Anterior Knee Pain Scale scores were 76 (range 75–80) after infrapatellar nail insertion. Discussion Depending on the technique used, the proportion of patients with knee pain after tibial nailing varied between 10 and 38%. The actual measured knee pain scores were, however, surprisingly low. Knee function was good for both the infra- and suprapatellar technique.

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Section: General Function Lower Extremitymentioning

confidence: 99%

Section: Ankle Functionmentioning

confidence: 99%

Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

Leliveld

Verhofstad

Bodegraven

et al. 2020

Eur J Trauma Emerg Surg

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“…Shorter operating times, less radiation exposure and stable fracture fixation have been obtained with different IMN designs used in tibia fractures. However good the stability is in locking IMN's, there are the disadvantages of difficulties in application (6)(7)(8)(9). The ease of application of expandable nail designs or nails with retractable claws for distal fixation is a great advantage for orthopaedic surgeons (6,7,10,11).…”

Section: Discussionmentioning

confidence: 99%

“…However good the stability is in locking IMN's, there are the disadvantages of difficulties in application (6)(7)(8)(9). The ease of application of expandable nail designs or nails with retractable claws for distal fixation is a great advantage for orthopaedic surgeons (6,7,10,11). Nails designed to be completely expandable without locking screws eliminate the complications that can develop during…”

Section: Discussionmentioning

confidence: 99%

“…In this design, while proximal fixation is made with classic locking screws, distal fixation is provided by the retractable claws attaching to the inner surface of the bone cortex. Distal retractable claws eliminate the problems of distal screw application (6,7). However, there is no study in the literature related to what the distance should be of the distal claws from the fracture region, even though these measurements are known to affect fracture healing.…”

Section: Introductionmentioning

confidence: 99%

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Does the distance of the fixation points to the fracture affect healing in tibial shaft fractures treated with openable distal claw intramedullary nail?

Alıç

YANARATEŞ>

Hassa

et al. 2023

Journal of Health Sciences and Medicine

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Objective: A retrospective examination was made of tibia shaft fractures treated with tibia intramedullary nail (IMN) (Dunitech Nite Tibial IMN Oliga Med Ankara-Turkey), which are designed with distal retractable claws, unlike classic imtramedullar nails. It was aimed to evaluate the effect on healing of the nail diameter and the distance between the fracture line and the proximal and distal fixation points of the IMN. Material and Method: The study included 28 patients (18 males, 10 females; mean age 43.75 (18-69) years) treated with distal retractable claw tibia IMN for a diagnosis of unilateral tibia diaphyseal fracture between January 2020 and January 2022. The midpoint of the fracture line (F), the proximal fixation point of the locking screw (S), the distal fixation point of the retractable claw (T), and the isthmus mid-point (I) were determined as reference points. The FT, ST, and IT distances, the nail diameter (ND) and isthmus diameter (ID) were measured and the FT/ST ratio was calculated. Statistical evaluations were made of the relationships between the diameter and length measurements and the visual analog scale (VAS) and radiographic union score for tibia (RUST) scores at the end of one year. Results: No statistically significant correlation was determined between the RUST and VAS scores and the diameter measurements or the distance between the proximal and distal fixation points of the IMN. Conclusion: There was no effect on the fracture healing scores of the nail diameter or the distance between the proximal and distal fixation points in tibia shaft fractures treated with a tibia nail with distal retractable claws. The nail design with retractable claws provides strong fixation and stable fracture healing. The operating time is shorter resulting in less radiation exposure. Keywords: Tibia Fracture, İntramedüller Nail, Fracture Healing

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Evaluation of the mechanical behaviour of the expandable wedge locked nail fixation in retrograde use: A finite element study

Özkaya,

Demir

2024

Computers in Biology and Medicine

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Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Cited by 10 publications

References 12 publications

Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

Does the distance of the fixation points to the fracture affect healing in tibial shaft fractures treated with openable distal claw intramedullary nail?

Evaluation of the mechanical behaviour of the expandable wedge locked nail fixation in retrograde use: A finite element study

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