Results of Dynamic Interlock Nailing in Distal Tibial Fractures

Gadegone, Wasudeo; Salphale, Yogesh; Lokhande, Vijayanand

doi:10.4236/ss.2015.67048

Cited by 5 publications

(3 citation statements)

References 31 publications

(26 reference statements)

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“…Similar young male involvement has been seen in a study conducted by Syed Baqir Hussain et al [6] . Most of the fractures of our studies are due to road traffic accidents (RTA) (64.70%), followed by fall from height (FFH) (23.52) and ZERO Assault (ASLT) (11.36%) cases whereas in studies by Wasudeo Gadegone et al [10] (42RTA, 13FFH, 46Assault or others)…”

Section: Discussionmentioning

confidence: 56%

Comparison between Clinico-radiological outcomes of primary closed static and dynamic interlocking nailing in transverse or short oblique diaphyseal fractures of tibia: A prospective study

Kishore¹,

Kanamarlapudi²

2022

Int. J. Orthop. Sci.

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Introduction and Background:The objective of the study is to evaluate the comparative efficacy in terms of clinico-radiological outcomes in primary static versus primary dynamic intramedullary interlocking nailing of tibia. The principle of fixation for a tibial middle third fracture is to stabilize at the proximal metaphyseal region, the isthmus and the distal metaphyseal region. This 3 point fixation provides adequate resistance to the deforming axial and torsional forces at the fracture site. Two types of Locking techniques exist for the intramedullary nailing, Static and Dynamic. Materials and Method: A total of 17 patients of either sex who presented with closed trauma of transverse or short oblique diaphyseal fractures of tibia, which were observed between the years 2015-2017. Randomly, static and dynamic locking was done to the equal populations presented. The aims of the study conducted were to analyze time to union, functional recovery and incidence of complications. Johner and Wruh's Criteria was used to analyze the functional outcome. All patients were followed for a period of 18months. Results: Upon evaluation with regard to Johner and Wruh's criteria showed Excellent results in 9 out of 17 subjects, Good results in 7 out of 17 subjects and a Fair result in 1 patient. The average time of fracture union in case of dynamically and statically interlocked nailed tibiae is 13.00 and 15.22 weeks respectively. Therefore, the difference was 2.22 weeks. In our study, the results of tibia nailing was found to be in consonance with the earlier studies. Conclusion:We conclude that Primary Dynamic locking is a better option as compared to primary static locking in simple transverse or short oblique diaphyseal fractures of tibia as it leads to faster fracture healing and early return to function.

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Section: Discussionmentioning

confidence: 56%

Comparison between Clinico-radiological outcomes of primary closed static and dynamic interlocking nailing in transverse or short oblique diaphyseal fractures of tibia: A prospective study

Kishore¹,

Kanamarlapudi²

2022

Int. J. Orthop. Sci.

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“…Union was defined as absence of pain at fracture site and radiological evidence of callus in three cortices. 12 At final follow up functional outcome was evaluated using Karlstorm-Olerud score. 13 Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) version 25.…”

Section: Figure 2: Serial X-ray Of Distal Tibia Fracture Managed With...mentioning

confidence: 99%

Evaluation of Treatment of Distal Tibia Fracture with an Intramedullary Interlocking Nail and Single Poller Screw

Karki,

Ranabhat,

Shrestha

2023

J. Nepalgunj Med. College

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Introduction: Distal tibia fracture tends to angulate while using a standard intramedullary interlocking nail. By using a single Poller screw, the medullary cavity's functional diameter is reduced. This leads to angulation correction and three-point fixations, which improve the mechanical stability of the nail-bone construct. Aims: To assess the functional and radiological results of the intramedullary interlocking nail and poller screw in management of adult distal tibia fracture. Methods: All patients with distal tibia fractures age more than 18 years, treated with intramedullary interlocking nails and a single poller screw at Nepalgunj Medical College between January 2022 and April 2023 were included in this prospective study. Radiological examination involved measuring sagittal and coronal plane angulation pre and postoperatively, while functional outcome was assessed using the Karlstorm- Olerud score. Ethical clearance was obtained from Institutional Review Committee. Results: Total 30 patients, 19 male and 11 females with mean age of 32.37 ± 11.02 (range 18 to 62 years) were treated. Mean difference of diameter between isthmus and fracture site was statistically significant. There was significant reduction in coronal and sagittal plane angulation after surgery which was maintained till union. All fractures united at an average of 17.60 ± 2.25 weeks, with 90% having good to excellent results. Conclusion: Using a poller screw with an intramedullary interlocking nail can greatly alleviate the angulation issue with the distal fragment for distal tibia fracture.

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“…Locking intramedullary nailing is widely used in the treatment of displaced tibia and fibula Fractures including those with soft tissue and open injuries [2][3][4] . Intramedullary interlocking nailing is minimally invasive and spares extra-osseous blood supply, and load sharing in nature.…”

Section: Introductionmentioning

confidence: 99%

Consequences in plating of fibula of distal metaphyseal tibial and fibular fractures: A teaching hospital based study in North India

Gupta¹,

Islam²

2020

Int. J. Orthop. Sci.

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The tibia is exposed to frequent injury. Distal tibial metaphyseal fractures are often the result of highenergy trauma, usually associated with distal fibular fractures. The presence of the ankle joint allows rotatory deformity after fracture, and care should be taken during reduction to correct such deformity. Fixation of fibular fractures in distal tibial metaphyseal fractures is controversial, although fixation of the fibular fracture by a plate and screws partially stabilizes comminuted fractures of the distal tibial shaft or metaphysis and considered in distal tibial fractures treated with intramedullary fixation to prevent valgus deformity even there is increased potential for delaying the tibial fracture healing. Objectives: The purpose of this study was to compare the functional and radiological outcome of fractures of distal third tibia and fibula treated by interlocking nail of tibia with fibular plating and without fibular plating. Material and Methods: A total of 24 patients who had fractures of lower third tibia and fibula are included in this study. 24 patients were divided into two groups A and B (12 patients in each group) based on fibular fixation. Results: Functional results were evaluated based on classification system for result of treatment by Johner and Wruhs criteria. Functional Outcome according to Johner and Wruhs criteria based on clinical rotational alignment, radiological valgus angulation and ankle range of movements, in group A 7 patients (58%) had good results and 5 patients (42%) had fair results. In group B 8 patients (67%) had good results and 4 patients (33%) had fair results (p=1.00 statistically not significant). Conclusion:Based on the results of the study, it was confirmed that fixation of fibula first, along with interlocking nailing of the tibia maintains limb length and decreases the malalignment and malrotation of the tibia in distal third fractures of tibia and fibula as compared with only interlocking nailing of tibia in distal third fractures of tibia and fibula.

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Results of Dynamic Interlock Nailing in Distal Tibial Fractures

Cited by 5 publications

References 31 publications

Comparison between Clinico-radiological outcomes of primary closed static and dynamic interlocking nailing in transverse or short oblique diaphyseal fractures of tibia: A prospective study

Comparison between Clinico-radiological outcomes of primary closed static and dynamic interlocking nailing in transverse or short oblique diaphyseal fractures of tibia: A prospective study

Evaluation of Treatment of Distal Tibia Fracture with an Intramedullary Interlocking Nail and Single Poller Screw

Consequences in plating of fibula of distal metaphyseal tibial and fibular fractures: A teaching hospital based study in North India

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