DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20211400

Clinical performance of intramedullary nailing system for tibia fractures: a retrospective study

Shashank Mishra, Mohit Kumar, Prashant Kumar, Gaurav Luthra

Abstract


Background: In this study, we aimed to investigate the performance of the intramedullary tibia nailing system while treating the tibia fracture fixation.

Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11 male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture.

Results: The outcomes of clinical treatment were obtained in our study; no pain (92%), mild pain (8%) after 2 year follow up. The follow up of patients were taken on 1 month, 6 months, 1 year and 2 years according to visual analog scale (VAS) score. Paired t test was performed for statistical data analysis using minitab and values of p<0.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending and corrosion.

Conclusions: Our outcomes with interlocking cannulated and expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes.


Keywords


Tibia fracture, AO classification, Expert tibia nail, Interlocking cannulated tibia nail

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References


Bach AW, Hansen ST. Plates vs external fixators in severe open Ribial fractures: A randomized trial. Clin Orthop. 1989;241:89-94.

Finkemeier CG, Schmidt AH, Kyle RF, Templeman DC, Varecka TF. A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft. J Orthop Trauma. 2000;14:187-93.

Bonnevialle P, Bellumore Y, Foucras L, H├ęzard L, Mansat M. Tibial fracture with intact fibula treated by reamed nailing. Rev Chir Orthop Reparatrice Appar Mot. 2000;86:29-37.

Brown PW, Urban JG. Early weight bearing treatment of open fractures of the tibia. An end result study of 63 cases. J Bone Joint Surg. 1969;51(A):59-75.

Puno RM, Teynor JT. Nagano, Gustilo RB. critical analysis of results of treatment of 201 tibial shaft fractures. Clin Orthop. 1986;212:113-21.

Nicoll EA. Closed & open management of tibial fractures. Clin Orthop. 1974;105:144.

Kuntscher GBG. The Kuntscher method of intramedullary fixation. J Bone Joint Surg Am. 1958;40-A(1):17-26.

Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453-8.

Klemn B. Interlocking nailing of complex fracture of femur and tibia. Clin Orthop. 1986;212:89.

Hooper GJ, Keddell RG, Penny ID. Coservative management of closed nailing for tibial shaft fracture. A randomized prospective trial. J Bone Joint Surg Br Jan. 1991;73(1):83-5.

McCormack HM, Horne DJ, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988;18:1007-19.

Huskisson EC. Measurement of pain. Lancet. 1974;2:1127-31.

Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37:378-81.

Huskisson EC, Wojtulewski JA, Berry H, Scott J, Hart FD, Balme HW. Treatment of rheumatoid arthritis with fenoprofen: comparison with aspirin. Br Med J. 1974;1:176-80.

Berry H, Huskisson EC. Treatment of rheumatoid arthritis. Clin Trials J. 1972;4:13.

Meena RC, Meena UK, Gupta GL, Gahlot N, Gaba S. Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial. J Orthop Traumatol. 2015;16(3):203.

Zhu DC, Liu L, Gao F, Li Q, Zhang B. Comparison of closed reduction and expert tibial nailing with open reduction and plate and screw fixation in the treatment of two segmental tibial fractures. Chinese J Traumatol. 2015;18(4):219-22.

Wiss DA, Stetson WB. Unstable Fractures of the Tibia treated with a Reamed Intramedullary Interlocking nail. Clin Orthop. 1995;315:56-63.

Zarezadeh A, Mamelson K, Thomas WC, Schoch BS, Wright TW King JJ. Outcomes of distal humerus fractures: What are we measuring? Orthop Traumatol: Surg Res. 2018;104(8):1253-8.