Outcomes following combined intramedullary nail and plate fixation for complex tibia fractures: A multi-centre study

Yoon, Richard S.; Bible, Jesse E.; Marcus, Matthew S.; Donegan, Derek J.; Bergmann, Karl; Siebler, Justin; Mir, Hassan R.; Liporace, Frank A.

doi:10.1016/j.injury.2015.03.019

Cited by 47 publications

(33 citation statements)

References 18 publications

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“…Combined IMN and plate is an effective and reliable method for the treatment of segmental tibia fractures with consistent ability to maintain high union rates and maintained alignment and does not increase the risk of infection . Our study obtained the encouraging results when using this technique for the treatment of segmental femoral fracture.…”

Section: Discussionmentioning

confidence: 52%

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Results of combining intramedullary nailing and plate fixation for treating segmental femoral fractures

Liu¹,

Wu²,

Lin³

et al. 2019

ANZ Journal of Surgery

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Key words fixation, intramedullary nail and plate combination, segmental femoral fracture. Correspondence AbstractBackground: Intramedullary nailing (IMN) is generally accepted as the standard treatment for femoral shaft fractures. However, segmental femoral fractures are considered to be a special injury type associated with high complication rates. Combined IMN and plate is proved to be a reliable method for treating complex tibia fractures with less operation time and high union rates. Therefore, the purpose of our study is to evaluate the outcome of following combined IMN and plate fixation for segmental femoral fractures. Methods: Between February 2013 and January 2016, 18 consecutive patients with femoral shaft fracture with AO/OTA type 32-C2 were treated via combined IMN and plate. Surgical details, operative and postoperative complications, the rate of union and time to union were evaluated. Results: There were 14 men and four women with a mean age of 37.8 years (range 27-52 years). All patients were followed up for a minimum of 12 months. Of the patients, 13 were closed fractures, three were Gustilo type I open fractures and two were Gustilo type II open fractures. All patients achieved union within 18.9 weeks (range 12-28 weeks) and none of them had malunion. There were no deep infections, and two patients with superficial wound infections were successfully treated with antibiotics. Conclusion: Combining IMN and plate fixation appears to be a reliable method for the treatment of segmental femoral shaft fractures with less operation time, high union rates and ability to maintain alignment, therefore it provides another choice for treating segmental femoral fractures.

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Section: Discussionmentioning

confidence: 52%

“…Recent studies have demonstrated that combined IMN and plate is an effective and reliable method for the treatment of complex tibia fractures with benefits of minimally invasive reduction aid and high union rates . After encouraged by these results, we have applied this technique to treating segmental femoral fractures.…”

Section: Introductionmentioning

confidence: 99%

Results of combining intramedullary nailing and plate fixation for treating segmental femoral fractures

Liu¹,

Wu²,

Lin³

et al. 2019

ANZ Journal of Surgery

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“…Yoon et al examined proximal tibia fractures treated with a combination of plate and screw fixation followed by intramedullary nail stabilization in a case series. 7 Twenty-five of twenty-seven fractures achieved union, and there were no cases of late fracture displacement.…”

Section: Pearl 5: Posterior Supplemental Fixation For Intra Articularmentioning

confidence: 89%

“…If the intention is to definitively leave a blocking device in place after nail insertion, separate blocking screws should be placed prior to removal of blocking drill bits; the potential deforming forces seen by the drill bit may not allow reinsertion of the screw in the same bicortical path.The further away from the interlocks a blocking drill bit is positioned, the more likely it will need to be replaced by a blocking screw to maintain reduction A fourth technique used in extreme nailing is the application of adjunctive plates through a small incision at the fracture site. 7,8 The plates vary in size depending on the location and intended mode for use. Buttress fixation of metaphyseal shear fractures are best reduced with 3.5mm recon or one-third tubular plates with bicortical screws out of the nail path.…”

Section: General Periarticular Nailing Techniquesmentioning

confidence: 99%

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Intramedullary Nailing of Periarticular Fractures

Virkus

Kempton

Sorkin

et al. 2018

J Am Acad Orthop Surg

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Plate fixation has historically been the preferred surgical treatment method for periarticular fractures of the lower extremity. This trend has stemmed from difficulties with fracture reduction and concerns of inadequate fixation with intramedullary implants. However, the body of literature on management of periarticular fractures of the lower extremities has expanded in recent years, indicating that intramedullary nailing of distal femur, proximal tibia, and distal tibia fractures may be the preferred method of treatment in some cases. Intramedullary nailing reliably leads to excellent outcomes when performed for appropriate indications and when potential difficulties are recognized and addressed.

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Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

et al. 2019

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Outcomes following combined intramedullary nail and plate fixation for complex tibia fractures: A multi-centre study

Cited by 47 publications

References 18 publications

Results of combining intramedullary nailing and plate fixation for treating segmental femoral fractures

Results of combining intramedullary nailing and plate fixation for treating segmental femoral fractures

Intramedullary Nailing of Periarticular Fractures

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

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