Intramedullary nailing of unstable diaphyseal fractures of the tibia with distal intraarticular involvement

Journal of Orthopaedic Trauma
G KonrathK E Cramer

Abstract

To evaluate the efficacy of intramedullary nailing in diaphyseal tibia fractures with distal intraarticular involvement. Retrospective. Henry Ford Hospital, a level I trauma center. Twenty patients with twenty fractures at an average of twenty-two months of follow-up were evaluated. There were fifteen closed and five open fractures. All fractures were stabilized with lag screw fixation (with or without supplemental plates) of the intraarticular-fracture extension or ankle fracture, and intramedullary nailing of the diaphyseal tibia fracture. Time to bony union, malunion, knee and ankle range of motion, early arthrosis, and any complications of treatment were assessed. Nineteen fractures healed, with an average time to bony union of seventeen weeks. One nonunion after a grade IIIB open fracture required exchange nailing and healed after sixty-two weeks. Nineteen fractures had excellent alignment after healing. There were no infections. The indications for intramedullary nailing of unstable diaphyseal tibia fractures may be extended to include certain fractures with distal extension into the ankle joint, as well in a tibial shaft fracture occurring in combination with a noncontiguous ipsilateral ankle fracture.

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Citations

Aug 16, 2003·International Orthopaedics·P MegasE Lambiris
Jul 31, 2013·International Orthopaedics·Khaled Hamed Salem
Jan 10, 2002·Journal of Orthopaedic Trauma·John T GorczycaDavid Pienkowski
Oct 23, 2014·Archives of Orthopaedic and Trauma Surgery·Stephen J WarnerDean G Lorich
Apr 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sebastian KuhnPol M Rommens
Dec 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Andreas H RueckerJohannes M Rueger
Mar 11, 2015·Journal of Orthopaedic Trauma·Christiane G KruppaClifford B Jones
May 11, 2016·Journal of Orthopaedic Trauma·Harish KempegowdaDaniel S Horwitz
Oct 22, 2016·Journal of Orthopaedic Trauma·Michael Talerico, Jaimo Ahn
Oct 22, 2016·Journal of Orthopaedic Trauma·John A ScolaroDerek J Donegan
Mar 19, 2008·Clinical Orthopaedics and Related Research·Sreevathsa BoraiahDean G Lorich
Oct 3, 2018·Journal of Orthopaedic Trauma·Garret L SobolMichael S Sirkin
Sep 10, 2011·Journal of Orthopaedic Trauma·Heather A VallierBrendan M Patterson
Dec 27, 2011·Journal of Orthopaedic Trauma·Heather A VallierBrendan M Patterson
Mar 20, 2020·Cyberpsychology, Behavior and Social Networking·Xianchen LiuCun-Xian Jia
Apr 24, 2013·Journal of Orthopaedic Trauma·Christopher M StewartPeter Nowotarski
Jan 2, 2001·Journal of Clinical Psychology·X LiuD Ma
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Jun 21, 2013·Journal of Orthopaedic Trauma·Dimitris L KatsenisKostas Pogiatzis

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