Study of interlocking nail in shaft tibia fracture

Patel, Jainish; Patel, Vilkesh; Oakley, Jeremy E.; Reddy, C Sai Sabharish; Jain, Anurag; Mani, Cheraventhan; Desai, Sarvang

doi:10.22271/ortho.2019.v5.i2g.48

Cited by 3 publications

(4 citation statements)

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“…Our study fi ndings suggest that IMN of the tibial was successful in 88.61% of the cases treated. This is similar to [1], a stated success rate of 90.00%, and a study conducted by Patel, et al 82% excellent result [22].…”

Section: Treatment Outcome Categorization Of Patients Treated With Imnsupporting

confidence: 86%

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Evaluation of the treatment outcome of tibia shaft fracture by close reduction and internal fixation with interlocking intramedullary nail, Freetown, Sierra Leone, 2023

Desmond Maada,

Nella,

Isaac Olufemi

2024

Open J Trauma

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Introduction: The tibia shaft is a common site for bone fractures and open fractures. Tibia shaft fracture is mostly caused by high-energy trauma such as a fall from a height or a road traffic accident. The objective of this study was to evaluate the treatment outcome of tibia shaft fracture managed by close reduction and internal fixation with interlocking Intramedullary Nails (IMN) and to determine factors that are associated with tibia fracture infection. Methods: This retrospective study was conducted at the Emergency Trauma Hospital, Freetown, Sierra Leone. We analyzed the medical records of a mixed cohort of patients who were treated for, tibia shaft fracture by closed reduction and internal fixation with interlocking intramedullary nails for the period January 2020 to January 2022; with at least 15 months of follow-up. We later used both bivariate and multivariate logistic regressions to determine the factors that are associated with wound infection post-internal fixation. Results: A total of Ninety (n = 90) patients’ medical records were reviewed of which 79 were included for analysis. The median age was 30 years (Inter Quartile Range: 16-67 years). The average hospital stay was 20 days (Inter Quartile Range: 6-156 days). The mean fracture nailing time was 11 days. Infection and non-union rates were at 18.99% and 3.8% respectively. Type of tibia shaft fracture (AOR = 25.51, 95% CI = 2.06-422.75,) and characteristics of wound (AOR = 29.51, 95% CI = 2.06-422.75) were significantly associated with wound infection. The treatment outcome categorization of IMN was successful in 88.61% of the patients. Conclusion: This study concludes that the type of tibia shaft fracture and characteristics of the wound are major predictors of wound infection. The findings of this study suggest that IMN fixation of closed and Gustilo type 1 Tibia shaft fracture led to successful healing in the majority of the cases with a low non-union rate.

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Section: Treatment Outcome Categorization Of Patients Treated With Imnsupporting

confidence: 86%

“…The fi nding of our study is similar to one conducted by Patel, et al with a 4% non-union [22] and lower than a study conducted by Metsemakers, et al the rate of non-union was 11.90%.…”

Section: Distribution Of Patient By Complicationsupporting

confidence: 85%

Evaluation of the treatment outcome of tibia shaft fracture by close reduction and internal fixation with interlocking intramedullary nail, Freetown, Sierra Leone, 2023

Desmond Maada,

Nella,

Isaac Olufemi

2024

Open J Trauma

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“…Interlocking IMN is considered the treatment of choice for most tibial shaft fractures as it is associated with negligible blood loss, minimal surgical trauma, and less non-union. It allows earlier weight-bearing and a shorter hospital stay [ 13 ]. Whereas indications for the plate in treating tibial shaft fracture are limited [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Finite element analysis modeling of plates versus intramedullary nails in closed comminuted midshaft tibial fractures

El-Desouky

Saleh

Amr

et al. 2022

SICOT-J

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Background: Tibial shaft fractures are usually treated by interlocking nails or plates. The ideal implant choice depends on many variables. Aim: To assess the mechanical behavior of interlocking nails and plates in the treatment of closed comminuted midshaft fractures of the tibia using finite element analysis. Material and methods: This is a prospective study of 50 patients with a mean age of 28.4 years with closed comminuted fractures of the midshaft of the tibia. Data evaluation was done by Finite element analysis (FEA). Fixation was revised in two cases. Results: After load application, there were significant differences in both bending (P = 0.041) and strain percent (P = 0.017), reflecting that interlocking nails were superior to plates. There were also significant differences between titanium and stainless-steel materials in bending (p = 0.041) and strain percent (p = 0.017) after applying load, indicating that titanium was superior to stainless steel. Conclusion: Interlocking nails are superior to plates in treating midshaft tibial fractures. The use of blocking screws may be needed in interlocking nails depending on the pattern and extension of the fracture.

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“…Although a closed shaft fracture of the tibia can be treated nonsurgically, there are many indications for surgery. The preferred method of surgical treatment is controversial, but a chiseled, blocked intramedullary nail for closed shaft fracture of the tibia is a popular technique due to good results reported with relatively low complication rates in clinical surgical series [11][12] A review of the literature on the subject shows that many authors use rates of union and infection as outcome criteria and ignore other important factors such as the range of motion of the upper and lower joints, problem with implants, and any deformities. We achieved 100% fusion without having to perform any other procedures such as bone grafting.…”

Section: Discussionmentioning

confidence: 99%

Study to Determine the Outcomes of Closed Tibial Shaft Fractures Treated with Reamed Inter Locking Nails

Shah¹,

Khan²,

Napar³

et al. 2021

PJMHS

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Aim: The aim of the study is to evaluate the results of treatment of a closed reamed interlocking in the treatment of closed fractures of the tibial shaft. Study design: A Descriptive observational study Venue and Duration: This study was conducted in the Orthopedic department of Ayub Teaching Hospital, Abbottabad for six months duration i.e from September 2020 to February 2021. Patients and methods: The study included 43 patients over 19 years of age. The patients were taken to the emergency and Orthopedic department for surgery of Ayub Teaching Hospital, Abbottabad for six months duration i.e from September 2020 to February 2021. Written approvals were granted from all selectees. Detailed history was asked and each patient was assessed clinically and radiographically. The reamed intramedullary nailing performed according to the protocol. Patients were followed for 1 year and assessed for infection, union, knee and ankle range of motion, and implant problems. 3 patients were excluded from follow-up, and the study was held in 40 patients. Results: All fractures were having complete union without the need for bone grafting. Simple fractures have union at mean of 14 weeks, comminuted and segmented fractures have union for longer than five weeks, and a mean duration of 18.5 weeks. Superficial infection at the screw site occurred in two patients, and the drainage was done, antibiotics were given and distal screw were removed, respectively. While all patients had a full range of knee motion, 37 patients had a full range of ankle movement. The other three patients had a 15-to-20-degree dorsiflexion loss at the ankle joint. No nail fracture, proximal screw end fracture in one patients and distal screw fracture in two patients were observed. Conclusion: We came to the conclusion that closed intramedullary nailing in the case of a closed shaft fracture of the tibia is a safe and satisfactory technique with a high rate of union and a relatively low complication rate and early return to activity. Keywords: Fracture, Internal, Fixation, Interlocking nail.

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Study of interlocking nail in shaft tibia fracture

Cited by 3 publications

References 1 publication

Evaluation of the treatment outcome of tibia shaft fracture by close reduction and internal fixation with interlocking intramedullary nail, Freetown, Sierra Leone, 2023

Evaluation of the treatment outcome of tibia shaft fracture by close reduction and internal fixation with interlocking intramedullary nail, Freetown, Sierra Leone, 2023

Finite element analysis modeling of plates versus intramedullary nails in closed comminuted midshaft tibial fractures

Study to Determine the Outcomes of Closed Tibial Shaft Fractures Treated with Reamed Inter Locking Nails

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