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Expandable nailing system for tibial shaft fractures.
- Source :
-
Injury [Injury] 2008 Aug; Vol. 39 (8), pp. 940-6. Date of Electronic Publication: 2008 Apr 15. - Publication Year :
- 2008
-
Abstract
- Objective: To evaluate and present our current clinical experience in the treatment of closed and open tibial shaft fractures using the expandable intramedullary nailing system.<br />Design: Prospective study.<br />Setting: One level-1 trauma centre.<br />Participants: Twenty-six patients with acute tibial shaft fractures with at least 10 cm of intact cortex on both sides of the fracture.<br />Intervention: Internal fixation using the Fixion expandable intramedullary nail (Disc-O-Tech Medical Technologies Ltd., Herzliya, Israel).<br />Main Outcome Measurements: Operative and fluoroscopy time, healing time and perioperative complications were recorded.<br />Results: Twenty-six tibial fractures were treated (OTA classification: 3 type A1, 8 A2, 8 A3, 3 B1, 3 B2, and 1 B3), six of which were open. All fractures healed by week 18.5 with an mean of 12.8+/-3.8 weeks. The operating time ranged from 20 to 50 min with an mean of 40+/-12.17 min. The fluoroscopy time ranged from 6 to 22s with a mean of 10+/-5s. In one case the nail failed to expand, as detected by X-ray control, and had to be exchanged intraoperatively. Two patients reported anterior knee pain during the follow up, but did not wish any further treatment. In a low demanding patient rotational malalignment was noted and no further action needed.<br />Conclusion: According to the results of this study, the use of the Fixion nailing system, where indicated, is associated with minimal complications and very good functional outcomes in fractures OTA types A and B. The advantages of the expandable nail include the decrease in the operating and fluoroscopy time and the simplicity of its application.
- Subjects :
- Adolescent
Adult
Aged
Bone Nails economics
Equipment Design
Female
Fracture Healing
Humans
Male
Middle Aged
Prospective Studies
Radiography
Radionuclide Imaging
Tibia diagnostic imaging
Tibia injuries
Tibial Fractures diagnostic imaging
Treatment Outcome
Weight-Bearing physiology
Bone Nails standards
Fracture Fixation, Intramedullary instrumentation
Tibia surgery
Tibial Fractures surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0020-1383
- Volume :
- 39
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Injury
- Publication Type :
- Academic Journal
- Accession number :
- 18417131
- Full Text :
- https://doi.org/10.1016/j.injury.2008.01.022