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

Rehman, Haroon; Gardner, William T.; Rankin, Iain; Johnstone, Alan J.

doi:10.1016/j.ijsu.2018.06.019

Cited by 20 publications

(13 citation statements)

References 24 publications

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“…14 A Rush rod is a 3.2-mm nail, which is made of steel with a chisel-like tip that can be implanted without reaming. 14,25 As noted, this type of implant functions more as an alignment strut and provides little rotational stability or axial stability, which minimizes its utility. Ender nails are commonly used in the treatment of pediatric fractures, especially femoral shaft fractures.…”

Section: Historical Considerationsmentioning

confidence: 99%

“…The implant is 150 mm long and 4.5 mm wide. 24,25 One of the most commonly investigated IM implants is the Acumed Nail (Hillsboro, OR, USA). Within 22 publications that investigated fibular nail fixation, this implant was analyzed in 8 studies.…”

Section: Historical Considerationsmentioning

confidence: 99%

“…The nail is offered in 2 different diameters (3 and 3.6 mm) and 3 different lengths (110, 145, and 180 mm) and its design allows for percutaneous fixation. 6,25 However, some authors describe limitations in patients with less than optimal bone quality. 2 The most recent study compared the nail with plate osteosynthesis and it showed a significant difference in complication rate-13.3% for Acumed fibular nail vs 29.0% for plate fixation.…”

Section: Historical Considerationsmentioning

confidence: 99%

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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%

Section: Historical Considerationsmentioning

confidence: 99%

Section: Historical Considerationsmentioning

confidence: 99%

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Fibular Nail Fixation: Topical Review

Bäcker

2019

Foot Ankle Int.

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“…There was no significant difference in syndesmotic diastasis during cyclic loading or at maximal external rotation. Authorsfound IM nailing to be biomechanically comparable to the locked plating6,7 .Pitfalls and challenges have been describedand include an incorrect entry point, direct damage to the peroneal tendons and superficial peroneal nerve, and fibular malreduction4,[10][11][12] . It is recommended to anatomically reduce the facture and check all radiographic parameters of the ankle with fluoroscopy before selecting the correct entry point.…”

mentioning

confidence: 99%

Haste intramedular de fíbula nas fraturas maleolares do tornozelo - técnica cirúrgica e revisão da literatura

Giordano

Giannoudis

Boni

et al. 2020

Rev. Col. Bras. Cir.

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RESUMO Nosso objetivo é descrever a técnica de fixação intramedular (IM) da fíbula no tratamento cirúrgico das fraturas maleolares do tornozelo. A redução é realizada sempre de forma percutânea: quando o traço de fratura é oblíquo simples, utilizamos uma pinça de redução de pontas e quando a fratura apresenta padrão multifragmentar, usa-se tração longitudinal e rotação. Isso reduz as complicações relacionadas à redução aberta e fixação interna com placa. A técnica demonstrou ser simples e reprodutível. Além disso, essa forma de fixação permite apoio precoce do peso corporal, o que acelera o processo de reabilitação e potencialmente acelera a cicatrização da fratura. A fixação IM da fíbula mostrou-se uma opção viável para a fixação do maléolo lateral nas fraturas do tornozelo, devendo ser considerada no arsenal do cirurgião.

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“…Our study demonstrates that the postoperative infection rate of 4.2% and metalwork complication rate of 5.2% following fibula nail fixation is lower than reported rates for ankle ORIFs. 15,16 Skin incision and soft tissue dissection for fibula nail insertion is minimal at approximately 1 to 2 cm, 16 making this an alternative implant in poor-quality skin and soft tissues. The rate of removal of hardware was 2.1%.…”

Section: Discussionmentioning

confidence: 99%

Fibula Nail Outcomes in Soft Tissue Compromised Ankle Fractures

et al. 2021

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Background: To determine the clinical outcomes following fibula nail fixation and to identify the indication for the use of fibula nails in lower limb fractures. Methods: Retrospective study of adult patients from 2 major trauma centers (MTCs) and 9 trauma units (TUs) who underwent fibula nail fixation for AO/OTA 44 fractures between January 1, 2018, and October 31, 2020. Outcome measures included infection, metalwork complications, nonunion or malunion, time to union, and length of inpatient hospital stay. Results: Ninety-five patients were included, with a mean age of 66 years; 57.9% of patients were female. The average body mass index was 30. Sixty-nine patients (72.6%) sustained a Weber B and 24 (27.4%) sustained a Weber C fracture. In addition, 26.3% were open fractures and all patients had soft tissue compromise affecting the lateral malleolus. The calculated infection rate for fibula nail was 4.2% and metalwork complication rate was 5.2%. The nonunion and malunion rate was 8.4% and rate of removal of hardware was 2.1%. The average time to union was 12.5 weeks, and length of inpatient stay was 9.4 days (SD 10). Conclusion: This multicenter study demonstrates that use of a fibula nail appears to be a safe approach to treating patients who have a physiologically higher risk of surgery, poor skin condition, and a complex fracture pattern.

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

Abstract: Level IV evidence.

Cited by 20 publications

References 24 publications

Fibular Nail Fixation: Topical Review

Fibular Nail Fixation: Topical Review

Haste intramedular de fíbula nas fraturas maleolares do tornozelo - técnica cirúrgica e revisão da literatura

Fibula Nail Outcomes in Soft Tissue Compromised Ankle Fractures

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