Accurate Entry Point for Tibial Nailing with SIGN Nail in Asians: A Cadaveric Study

نویسندگان

  • Tanawat Vaseenon
  • Sirichai Luevitoonvechkij
  • Anupong Laohapoonrungsee
چکیده

Tibial shaft fracture is a common orthopaedic and trauma condition. Incidence of tibial fracture is average 26 in 100,000 per year at the age of 15 to 19 years. It is more common in US that is 109 in 100,000 per year [1]. Operative treatment options are external fixation, open reduction and internal fixation with plate and screws or intramedullary nailing. Intramedullary nailing is widely accepted as a standard treatment for long bone fracture including tibial shaft fracture with benefits of less soft tissue injury, biologic preservation and advantage of biomechanics.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of insertional trauma between suprapatellar and infrapatellar portals for tibial nailing.

The purpose of this study was to determine differences in insertional articular trauma in infrapatellar tibial portal and suprapatellar portal intramedullary tibial nail insertion techniques. A cadaveric study was performed on 10 matched pairs of fresh-frozen adult cadaver lower extremities with intact extensor mechanisms. Two study groups with 10 limbs each were created: left lower limbs were ...

متن کامل

Proximal 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 ...

متن کامل

Impact of posterior tibial nail malpositioning on iatrogenic injuries by distal medio-lateral interlocking screws. A cadaveric study on plastinated specimens.

In intramedullary tibial nailing, multi-planar locking makes stabilization of proximal and distal metaphyseal fractures possible. A known complication in intramedullary nailing of the tibia is iatrogenic injury to neuro-vascular structures caused by the insertion of locking screws. As shown in previous studies, the distal positioning of the nail is important, as it determines the course of the ...

متن کامل

Management of tibial non-:union: using reamed interlocking intra-medullary nailing

 Abstract  Background: Reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non:::union:::. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non:::union:::.  Methods: Twenty-nine patients with non:::union::: after initial therapy for tibial fracture  were retrospectively assessed...

متن کامل

Determination of the Best Method of Tibial Nail Length Estimation in Patients with Tibia Fracture

Background & Aims: Tibia fractures are the most common long bone fracture. Due to minimal soft tissue and its blood supply, inadequate treatment of injuries could be a major cause of morbidity and disability. The intramedullary nail is the preferred method of treatment; however, despite all previous studies, no accurate method to measure nail length prior to surgery exists as yet. Due to the im...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012