Effect of Intramedullary Tibial Nailing on Attachment Area and Ultimate Strength of the Anterior Medial Meniscal Root: Is the Safe Zone Really Safe?
نویسندگان
چکیده
Disclosures: M.D. LaPrade: 1; Arthrex. 3B; Arthrex, Smith & Nephew. C.M. LaPrade: 1; Arthrex. 3B; Arthrex, Smith & Nephew. M.G. Hamming: None. M.B. Ellman: None. T.L. Turnbull: None. M.T. Rasmussen: None. R.F. LaPrade: 1; Arthrex. 3B; Arthrex, Smith & Nephew. C.A. Wijdicks: 5; Acumed, AlloSource, Arthrex, Biomet, Ceterix Orthopaedics, ConMed Linvatec, DePuy Synthes, OREF, Ossur, Smith & Nephew, Sonoma Orthopedics.
منابع مشابه
Intramedullary Tibial Nailing Reduces the Attachment Area and Ultimate Load of the Anterior Medial Meniscal Root: A Potential Explanation for Anterior Knee Pain in Female Patients and Smaller Patients.
BACKGROUND Intramedullary (IM) nailing is the treatment of choice among orthopaedic surgeons for tibial shaft fractures. However, because of the close proximity of the nail's insertion site to the anterior medial (AM) meniscal root on the tibial plateau, there is increased risk of iatrogenic injury to the meniscal root during nailing. PURPOSE To quantify the area of the AM meniscal root footp...
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BACKGROUND The current standard for treating complete tears of the anterior cruciate ligament (ACL) is reconstruction, which requires reaming a tibial tunnel. Based on recent anatomic and biomechanical studies, this reconstruction tunnel may cause injuries to the anterior meniscal root attachments. PURPOSE/HYPOTHESIS The purpose was to determine if injuries occurred to the anteromedial (AM) a...
متن کاملProximal entry for intramedullary nailing of the tibia. The risk of unrecognised articular damage.
The risk of articular penetration during tibial nailing is well known, but the incidence of unrecognised damage to joint cartilage has not been described. We have identified this complication in the treatment of tibial fractures, described the anatomical structures at risk and examined the most appropriate site of entry for tibial nailing in relation to the shape of the bone, the design of the ...
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Statically locked, reamed intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Establishing an appropriate starting point is a crucial part of the surgical procedure. Recently, suprapatellar nailing in the semi-extended position has been suggested as a safe and effective surgical technique. Numerous reduction techiques are available to achieve an anatomic ...
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