As. Dogra et al., Dia-metaphyseal distal tibial fractures - treatment with a shortened intramedullary nail - A review of 15 cases, INJURY, 31(10), 2000, pp. 799-804
Citations number
10
Categorie Soggetti
Aneshtesia & Intensive Care
Journal title
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Fifteen patients were reviewed retrospectively with distal tibial fractures
treated with a reamed intramedullary nail which had approximately 1 cm rem
oved just distal to the lowermost locking screw. There were 15 patients (ni
ne males and six females).
All patients had returned to normal activities of daily living. Eleven pati
ents could perform all leisure activities with no symptoms and three had on
ly minor discomfort, which did not preclude sport.
All fractures united, 12 uneventfully and three after a secondary surgical
procedure. Three patients had malalignment defined as varus-valgus angulati
on or recurvatum of 5 degrees or greater.
Whilst technically challenging, intramedullary nailing for dia-metaphyseal
distal tibial fractures represents a safe and reliable method for managing
these injuries. This represents the first report in the English Language li
terature specifically examining treatment with a shortened tibial nail. (C)
2000 Elsevier Science Ltd. All rights reserved.