Morphological classification and clinical significance of medial malleolus based on computed tomography three-dimensional reconstruction

Xin, L; Liu, K; He, B; Chen, M; Tang, B; C, Tang; Zhang, L

doi:10.5603/fm.a2021.0135

Folia Morphol

2023

DOI: 10.5603/fm.a2021.0135

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Morphological classification and clinical significance of medial malleolus based on computed tomography three-dimensional reconstruction

L Xin¹,

K Liu

B He³

et al.

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Folia Morphologica" are listed in PubMed.

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Ideal entry point and direction of retrograde intramedullary nailing of the tibia

Jiang

Tan

et al. 2023

J Orthop Surg Res

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Purpose To determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia. Methods The imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data were imported into the software for processing, so as to obtain a distal tibial fracture model and simulate the retrograde intramedullary nail placement in the tibia. The entry points and angles at which the intramedullary nail could be inserted successfully and the fracture could be maintained in good alignment were overlapped and counted to obtain the safe entry range and angle. The center of this safe range is the ideal entry point for retrograde intramedullary nailing of the tibia, and the mean value of the angle is the ideal direction of entry. Results The ideal entry point of the retrograde intramedullary nailing was located at the midpoint of the medial malleolus in the C-arm fluoroscopic anteroposterior (AP) and lateral view. The ideal nail entry direction was located at the anatomic axis of the medial malleolus in the AP position and at the anatomic axis of the distal tibial metaphysis in the lateral position. Conclusion The ideal point and direction of nail insertion for retrograde tibial intramedullary nailing is a "double midpoint, double axis" approach.

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Ideal entry point and direction of retrograde intramedullary nailing of the tibia

Jiang

Tan

et al. 2023

J Orthop Surg Res

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Morphological classification and clinical significance of medial malleolus based on computed tomography three-dimensional reconstruction

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Folia Morphologica" are listed in PubMed.

Cited by 1 publication

References 21 publications

Ideal entry point and direction of retrograde intramedullary nailing of the tibia

Ideal entry point and direction of retrograde intramedullary nailing of the tibia

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