Injury of the Tibial Nutrient Artery Canal during External Fixation for Lower Extremity Fractures: A Computed Tomography Study

Journal of Clinical Medicine
Haidara AlmansourFabian Springer

Abstract

The tibial nutrient artery (TNA) is the major diaphyseal artery of the tibia supplying two thirds of the inner osseous cortex. Hence, iatrogenic injury of the TNA endangers the integrity of the tibial blood supply and may compromise fracture healing. The incidence of its injury in the setting of external fixation for lower limb fractures has not been previously investigated. The aim of this study was to evaluate the incidence of TNA injury in the context of external fixation and to characterize the topography of the fixator pins in relation to the TNA canal (TNAC). Patients who underwent external fixation for distal femoral fractures and for tibial (proximal, shaft, and distal) fractures and had a postoperative computed tomography study were retrospectively included. The following parameters were retrieved: 1) Pin characteristics (orientation and cortical position of the pins), 2) The anatomic relationship between the TNAC and external fixation pin (topography above/below and at the level of the TNAC, and the distance between the pin and medial tibial plateau and/or the medial malleolus), and 3) The incidence of TNAC injury (complete/partial disruption of TNA lumen). A total of 105 patients with 214 tibial pins were analyzed. I...Continue Reading

References

Nov 1, 1978·The Journal of Bone and Joint Surgery. British Volume·S HughesP Lavender
Dec 1, 1992·The Journal of Trauma·M A PaulJ Rauwerda
Jul 1, 1990·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·S R SmithP J Kelly
Jan 1, 1987·Surgical and Radiologic Anatomy : SRA·F Forriol CamposR Fernandez-Valencia
Jan 1, 1982·The Journal of Trauma·D H Gershuni, R Pinsker
May 1, 1995·The Journal of Trauma·E V LimJ Blebea
Jan 1, 1993·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·P D TriffittP J Gregg
May 1, 1996·Clinical Orthopaedics and Related Research·P HellandM Hordvik
Jan 1, 1997·The Journal of Trauma·M R Brinker, D E Bailey
Nov 10, 2001·The Journal of Bone and Joint Surgery. American Volume·M BhandariE H Schemitsch
Sep 1, 2005·Clinical Orthopaedics and Related Research·Laurent AudigéThomas P Rüedi
Feb 6, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Matthew R BongKenneth A Egol
Feb 27, 2007·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Emine KizilkanatOzkan Oguz
Oct 9, 2007·Injury·Christopher Tzioupis, Peter V Giannoudis
Mar 12, 2011·Journal of Shoulder and Elbow Surgery·Matt WalkerMark Mighell
Jan 5, 2013·Injury·Marc BanerjeeUNKNOWN German Trauma Registry Group
Aug 21, 2013·International Orthopaedics·Ye PengPeifu Tang
Oct 2, 2014·Injury·Emmanuele SantoliniPeter V Giannoudis
Jan 24, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Nirmal TejwaniPhilip R Wolinsky
Aug 28, 2015·The Open Orthopaedics Journal·M L BertrandF J Pascual-López
Apr 23, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Yuto KawasakiKoichiro Ichimura
May 8, 2020·EFORT Open Reviews·Carlos A Encinas-UllánE Carlos Rodríguez-Merchán

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