The treatment of 143 tibial shaft fractures by Ender's nailing and early weight-bearing

Merianos, P.; Cambouridis, P; Smyrnis, Panagiotis

doi:10.1302/0301-620x.67b4.4030853

Cited by 24 publications

(10 citation statements)

References 12 publications

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“…In the two groups, 7 patients (15.9%) had malunion, a larger rate than that found in the literature, 20,29,[34][35][36] where the average was 5%. It is important to clarify that of these 7 patients, 6 presented inadequate reduction, or in other words, left osteosynthesis surgery with deformities above acceptable limits, perhaps a result of technical difficulties in the reduction of these fractures.…”

Section: Discussionmentioning

confidence: 51%

“…In most studies, however, the incidence of lesions varies from 0% to 5.3%. 1,2,21,35,39,40 Only 2 (4.6%) of the patients in this study suffered neurological lesions, one from the Ender group, who had profound fibular nerve involvement, and the other from the LIN group, with a lesion on the ischial nerve (sciatica), both being diagnosed immediately after surgery. The latter case was probably provoked by excessive traction during treatment of the associated fracture of the femur on the same side.…”

Section: Discussionmentioning

confidence: 74%

“…Breakage of locking screws is a frequent complication, [25][26][27]34,35 with rates reaching 52% when unreamed locked nails are used. 12 No operations were performed to remove broken screws; the breakage acted as dynamization.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

Sakaki

Crocci

Zumiotti

2007

Clinics

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MATERIALS AND METHODS:Forty-four patients with unilateral tibial diaphyseal fractures were treated with intramedullary nails or Ender pins. Twenty patients were treated with an unreamed intramedullary nail with access via the patellar tendon with static locking. Twenty-four patients were treated with Ender pins introduced medially and laterally with respect to the tuberosity of the tibia. The main parameters analyzed were type of reduction, complications, union rate, deformities, joint mobility, pain, gait, effort capacity, presence of neurovascular disorders, and complaints related to the synthesis material. RESULTS: During 1 year of follow-up, the fractures of 90.0% of the patients with intramedullary nails and 95.7% of patients with Ender pins healed within an average of 21.5 weeks and 20.9 weeks, respectively. The significant findings were as follows: patients treated with Ender pins had less mobility of the subtalar joint; patients treated with intramedullary nails were more likely to have pain in the knee; both groups showed shortening of the tibia at the end of 1 year of treatment. CONCLUSIONS:The two methods are similar in the treatment of type A, B, and C2 tibial diaphyseal fractures.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 74%

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Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

Sakaki

Crocci

Zumiotti

2007

Clinics

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“…Another aspect of the present study was the fact that only 0.9% of orthopedists used EN. Although the studies by Merianos, Cambouridis and Smyrnis 15 and Sakaki, Crocci and Zumiotti 9 concluded that the results of osteosynthesis with nails and EN are similar, EN was not noted as a preferred method.…”

Section: Discussionmentioning

confidence: 98%

“…For patients treated with intramedullary nailing and EFs, partial weight bearing in standing position is allowed after a few days. These benefits lead to better blood supply to the site of the bone and soft tissue wounds, allowing a faster healing process 15,23,24 .…”

Section: Discussionmentioning

confidence: 99%

A visão do ortopedista brasileiro sobre a descarga parcial de peso em ortostase nas fraturas expostas da diáfise da tíbia após osteossíntese

Sella¹,

Machado²,

Fernandes³

et al. 2009

Rev. bras. fisioter.

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There are studies comparing osteosynthesis devices and surgical aspects, but no references were found on how or when to allow weight bearing on the affected limb in the standing position. Objectives: The present study learned from Brazilian orthopedists which methods of osteosynthesis they use to treat open tibial fractures, whether they refer patients to physical therapy, when and why they allow partial weight bearing for both physical activity and therapy. Methods: Two hundred and thirty-five orthopedists answered a questionnaire during the 14 th Brazilian Conference of Orthopedic Trauma. Results: The results showed that, in Brazil, the most widely used osteosynthesis device is the external fixator, but earlier weight bearing while standing occurs when intramedullary nails are used.Most orthopedists refer patients to physical therapy and allow partial weight bearing in the standing position according to the material used for synthesis. Conclusions: It was concluded that there is a preference for external fixation, that most orthopedists refer patients to physical therapy and that the synthesis material influences restrictions on partial weight bearing.Key words: osteosynthesis; tibia; physical therapy; orthopedist. ResumoContextualização: As fraturas da diáfise da tíbia são as mais frequentes dentre as dos ossos longos. Há descrições na literatura, de acordo com o método e dispositivo de tratamento, com recomendações que vão desde a descarga total até a proibição do suporte de peso corporal em ortostase. Existem estudos comparando os dispositivos de osteossíntese e os diversos aspectos cirúrgicos, porém não são encontradas referências que descrevam como e quando se deve liberar a descarga sobre o membro acometido na posição ortostática. Objetivos: Verificar, entre os ortopedistas brasileiros, qual ou quais são os métodos de osteossíntese adotados para o tratamento de fraturas expostas de tíbia, se indicam o tratamento fisioterápico, quando e quais fatores influem para liberar a descarga parcial em ortostase, tanto para a função quanto para a fisioterapia.

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Patellar tendon bearing plaster casts in fractures of the tibia

Ahmad

Mam

Sethi

1989

International Orthopaedics

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One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the third world because it avoids the complications of operation and also of traditional conservative methods.

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The treatment of 143 tibial shaft fractures by Ender's nailing and early weight-bearing

Cited by 24 publications

References 12 publications

Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

A visão do ortopedista brasileiro sobre a descarga parcial de peso em ortostase nas fraturas expostas da diáfise da tíbia após osteossíntese

Patellar tendon bearing plaster casts in fractures of the tibia

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