Preoperative estimation of tibial nail length—Because size does matter

Galbraith, John G.; O’Leary, D.P.; Dailey, Hannah L.; Kennedy, Thomas E.; Mitra, Aniruddha; Harty, James

doi:10.1016/j.injury.2012.07.190

Cited by 15 publications

(48 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anatomical landmarks used for measurement of each parameter were defined based upon previous studies in literature. 6 , 7 , 8 , 9 …”

Section: Methodsmentioning

confidence: 99%

“…K-A was measured from a point on the medial knee joint line 3 cm medial to the medial edge of patellar tendon to another point on the medial ankle joint line felt as a depression just medial to the tibialis anterior tendon at the medial corner of the ankle joint. 6 , 8 K-MM was measured from the medial knee joint line 3 cm medial to the medial edge of patellar tendon to the most prominent point on the medial malleolus. 6 TT-A was determined by measuring the distance between the most prominent point on the tibial tuberosity and the medial ankle joint line.…”

Section: Methodsmentioning

confidence: 99%

“… 6 , 8 K-MM was measured from the medial knee joint line 3 cm medial to the medial edge of patellar tendon to the most prominent point on the medial malleolus. 6 TT-A was determined by measuring the distance between the most prominent point on the tibial tuberosity and the medial ankle joint line. TT-MM was defined as the distance between the most prominent points on the tibial tuberosity and medial malleolus.…”

Section: Methodsmentioning

confidence: 99%

“…3 , 4 , 5 The two guide wires technique cannot be used when unreamed nails are used. 6 The preoperative radiological methods described are krammer splint technique, templating, scanograms, spotograms and direct measurement from radiographs of the contralateral limb. 5 , 7 …”

Section: Introductionmentioning

confidence: 99%

“…Anthropometric measurements described for the preoperative estimation of tibial nail length are knee joint line to ankle joint line (K-A), knee joint line to medial malleolus (K-MM), tibial tuberosity to ankle joint line (TT-A), tibial tuberosity to medial malleolus (TT-MM), olecranon to fifth metacarpal head (O-MH) and body height (BH). 6 , 7 , 8 , 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Preoperative determination of tibial nail length: An anthropometric study

Issac

Gopalan

Mathew

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

ObjectiveTo assess the correlation between five anthropometric parameters and the distance from tibial tuberosity to medial malleolus in 100 volunteers.MethodsSix anthropometric parameters were measured in 50 male and 50 female medical students using a metallic scale: medial knee joint line to ankle joint line (K-A), medial knee joint line to medial malleolus (K-MM), tibial tuberosity to ankle joint (TT-A), tibial tuberosity to medial malleolus (TT- MM), olecranon to 5th metacarpal head (O-MH) and body height (BH). Nail size predicted based upon TT-MM measurement was chosen as ideal nail size. A constant was derived for each of the six anthropometric parameters which was either added or subtracted to each measurement to derive nail size. A regression equation was applied to BH measurements. Nail sizes calculated were compared with that obtained from TT-MM measurement and accuracy was evaluated. Accuracy of O-MH and BH regression equations recommended by other authors were calculated in our data.ResultsAdding 11 mm to TT-A distance had highest accuracy (81%) and correlation (0.966) in predicting nails correctly. Subtracting 33 mm from K-MM measurement and 25 mm from K-A distance derived accurate sizes in 69% and 76% respectively. Adding 6 mm to O-MH distance had a poor accuracy of 51%. Nail size prediction based upon body height regression equation derived correct nail sizes in only 34% of the cases. Regression equation analysis by other authors based on O-MH and BH distances yielded correct sizes in 11% and 5% of the cases respectively.ConclusionTT-A, K-A and K-MM measurements can be used simultaneously to increase accuracy of nail size prediction. This method would be helpful in determining nail size preoperatively especially when one anatomic landmark is difficult to palpate.

show abstract

“…The anatomical landmarks used for measurement of each parameter were defined based upon previous studies in literature. 6 , 7 , 8 , 9 …”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Preoperative determination of tibial nail length: An anthropometric study

Issac

Gopalan

Mathew

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

show abstract

Correlation between tibial nail length and olecrenon to 5th metacarpal head measurement: An anthropometric study

Hegde

Mohammed

Ahmed

2019

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeDuring fracture fixation, the size of tibial nail is a vital factor affecting the outcomes and thus preoperative estimation of tibial nail length is very important. This study aims to find out whether “olecranon to 5th metacarpal head” (O-MH) measurement can be used to reliably predict the tibial nail length.MethodsThis was a cross sectional study involving 100 volunteers. Measurements were done and recorded by two observers on two separate occasions. Tibial nail length estimation measurement was done from highest point of tibial tuberosity to the tip of the medial malleolus (TT-MM). O-MH measurement was taken from tip of olecranon to the tip of 5th metacarpal head with wrist in neutral position and hand clenched. Statistical analysis was done to find out correlation between two measurements and influence of age, gender and body mass index on them.ResultsPaired t-test showed no systematic error between the readings. Intraclass correlation coefficient showed strong agreement in inter and intra observer settings. Strong correlation was found between the TT-MM & O-MH measurements using Pearson's correlation coefficient test (r = 0.966). Hierarchical regression analysis showed age, gender and BMI have no statistically significant bearings on these measurements and their correlations.ConclusionO-MH measurement is a useful and accurate means of estimating tibial nail length preoperatively.

show abstract