Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union
نویسندگان
چکیده
منابع مشابه
Distal Locking Screws for Intramedullary Nailing of Tibial Fractures.
Recently introduced tibial intramedullary nails allow a number of distal screws to be used to reduce the incidence of malalignment and loss of fixation of distal metaphyseal fractures. However, the number of screws and the type of screw configuration to be used remains obscure. This biomechanical study was performed to address this question. Thirty-six Expert tibial nails (Synthes, Oberdorf, Sw...
متن کاملThe Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures
Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with bip...
متن کاملUnreamed intramedullary nailing with oblique proximal and biplanar distal interlocking screws for proximal third tibial fractures.
PURPOSE To assess the outcome of unreamed intramedullary nailing through the lateralised entry point using oblique proximal and biplanar distal interlocking screws. METHODS 15 men and 3 women aged 25 to 58 (mean, 37) years underwent unreamed intramedullary nailing with oblique proximal and biplanar distal interlocking screws for proximal third metaphyseal tibial fractures. The entry point was...
متن کاملIntramedullary nailing and angulation prevention in distal metaphyseal tibial fractures.
Intramedullary nailing, which is preferred in tibial diaphyseal fractures, is also frequently used in distal third tibial fractures. Various angular deformities, including varus/valgus deformity, may be observed during postintramedullary nailing. Orthopedic surgeons use several methods to prevent this problem.In this study, at least 2 static locking screws were placed proximal and distal to the...
متن کاملFatigue strength of common tibial intramedullary nail distal locking screws
BACKGROUND Premature failure of either the nail and/or locking screws with unstable fracture patterns may lead to angulation, shortening, malunion, and IM nail migration. Up to thirty percent of all unreamed nail locking screws can break after initial weight bearing is allowed at 8-10 weeks if union has not occurred. The primary problem this presents is hardware removal during revision surgery....
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ژورنال
عنوان ژورنال: International Orthopaedics
سال: 2007
ISSN: 0341-2695,1432-5195
DOI: 10.1007/s00264-007-0356-3