The “epiphysa” fibular nail - 45 Cases during 30 months

François, M.; Inal, N.; Nassar, Essam Abdelalim; Benrahho, A.; Moujawaz, B.

doi:10.1007/bf01682047

Cited by 11 publications

(4 citation statements)

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“…The first iteration of this nail was a straight round nail with a threaded head, comparable with a screw. 12 In its initial description, it was primarily used for fibula fractures accompanying diaphyseal or distal fractures of the tibia. The EPIFISA Fibular nail is similar; it has a 9-mm head with a self-tapping thread at the distal end.…”

Section: Historical Considerationsmentioning

confidence: 99%

Fibular Nail Fixation: Topical Review

Bäcker

2019

Foot Ankle Int.

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Background: Intramedullary implants have been used historically in long bone fractures with success. In recent years, a variety of intramedullary implants for the treatment of fibular fractures have been investigated. These various implants have not been assessed together in a cohesive manner. In this review, we assess implants used for intramedullary fixation of fibular fractures with respect to implant design and clinical results. Methods: A comprehensive systematic literature review for intramedullary implants in fibular fractures was performed. All publications that assessed intramedullary fibular implants were reviewed. In total, 11 different intramedullary nails were found. Clinical results obtained from these studies were reviewed. Results: The intramedullary implants used for fibular fracture fixation generally fell into one of 3 categories: an unlocked longitudinal strut, an implant roughly equivalent to a large screw, or a more traditionally locked intramedullary nail. Reported clinical results were generally good, although inconsistent outcome reporting greatly limited comparison between studies. Complication rates varied with the implants but were generally low. Conclusion: Intramedullary implants for fibular fracture stabilization have changed over the years to improve stability. Although clinical results are limited, data suggest that these implants are safe and can potentially approximate more traditional implants. Level of Evidence: Level II, systematic review.

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Section: Historical Considerationsmentioning

confidence: 99%

Fibular Nail Fixation: Topical Review

Bäcker

2019

Foot Ankle Int.

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“…Trial, [6][7][8] and 7 techniques in 9 case series alone. [9][10][11][12][13][14][15][16][17][18] Some techniques were reported in multiple publications.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

The implants used for intramedullary fixation of distal fibula fractures: A review of literature

Rehman

Gardner

Rankin

et al. 2018

International Journal of Surgery

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“…Within the fibular nail group, 17 studies were performed retrospectively and the remaining 5 studies were prospective, including two randomized controlled trials. Different devices were used in the studies, such as the Acumed nail 12e19 EPIFISA fibula nail, 20 IP-XSnail, 21 ANK device 22,23 , Knowles pin 24,25 , Inyo, 26,27 Biomet SST fibular nail 28 , 29 , Metaizeaus nail, 30 rush rod, 31 elastic nail 32 or Ender intramedullary nail (Smith and Nephew). 33 In the screw fixation group either 3.5 or 4.2 mm partially and fully-threaded screws were used.…”

Section: Resultsmentioning

confidence: 99%

“…In four studies the union rate was not stated. 22,24,29,30 In those studies that did note a union rate, the mean rate of union after fibular nail fixation was 99.1% ± 2.6 and 99.2% ± 1.7 for screw fixation (overall for intramedullary devices 99.1%). For fibular plate fixation the union rate was reported in six studies with a mean of 97.6% ± 2.2.…”

Section: Summary Of Evidencementioning

confidence: 99%

Intramedullary fixation of fibula fractures: A systematic review

Bäcker

2021

Journal of Clinical Orthopaedics and Trauma

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Introduction: Distal fibula fractures are common injuries that often require open reduction internal fixation. Intramedullary fixation of the fibula has been used historically, and interest has been renewed somewhat recently, although there is limited data assessing outcomes after intramedullary fibular fixation. The purpose of this study was to systematically evaluate the literature as it relates to the clinical and functional outcome after fibular fracture fixation using an intramedullary device. Methods: A literature review on Medline/Pubmed, EMBASE, Cochrane and Google was performed. In total, 1994 abstracts were reviewed of which 30 articles in English, German and French were included, all of which evaluated the clinical and functional outcome after fibular nail osteosynthesis. Results: Within the 30 studies, a total of 1116/1380 patients were treated with a fibular nail between 1986 and 2018. In total 11 different devices were investigated. Six articles compared fibular nail versus plate osteosynthesis and in five cases a prospective study was performed. The complication rate varied somewhat widely based on the implants used. The mean union rate was 99.1% with a mean follow-up of 19.0 months. In comparison to plate fixation the nail was superior in terms of complication rate in most studies. No unified assessment of functional outcome was used, and so comparison between studies was difficult. However, good and excellent results were obtained in 73%e100% of patients. Conclusion: Current data on intramedullary fixation of the fibula is limited and suffers significantly from inconsistency in outcome reporting. It remains to be seen whether the potential advantages of intramedullary implants can both maintain the good results of other implants and improve on some aspects of more commonly used implants.

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The “epiphysa” fibular nail - 45 Cases during 30 months

Cited by 11 publications

References 0 publications

Fibular Nail Fixation: Topical Review

Fibular Nail Fixation: Topical Review

The implants used for intramedullary fixation of distal fibula fractures: A review of literature

Intramedullary fixation of fibula fractures: A systematic review

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