| Title |
Blauzdikaulio diafizės osteosintezė intrameduline vinimi su skersiniu tvirtinimu: pirmųjų metų patirtis ir rentgenologinė analizė / |
| Translation of Title |
Locking intramedullary nailing of tibial shaft: first-year experience and radiographic analysis. |
| Authors |
Kurtinaitis, Jaunius ; Uvarovas, Valentinas ; Broga, Rimvaldas ; Kocius, Manvilius |
| DOI |
10.15388/LietChirur.2006.1.2281 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2006, t. 4, Nr. 1, p. 39-46.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
tibial fractures ; nonunion ; intramedullary nailing ; osteosynthesis ; malalignment |
| Abstract [eng] |
Background/objective. Locked intramedullary nailing for open and closed tibial shaft fractures is widely used as a first choice method of treatment. In our clinic, the first operation of this type was performed in May 2004. The most common complication of this method of treatment is malalignment. The goal of the study was evaluation of the tibial axis after nailing in the frontal and sagittal planes, technical complications, correlation between duration, number of errors and operation count, malalignment distribution according to fracture localization and reosteosynthesis of nonunion. Patients and methods. Between May 2004 and May 2005, 20 surgeons performed 80 operations of interlocking nailing of tibial shaft for 78 patients. There were 68 primary operations for acute fractures and 12 secondary: 10 for nonunion and 2 for fracture and plate migration. Radiographic analysis in the frontal and sagittal planes was performed. Malalignment was defined as a 5° angulatory deformity in any plane. Results. 71 (69 patients) tibia were available for radiological analysis. Malalignment occurred in 13 cases (16.3%). The worst results were observed in proximal 1/3 and segmental fractures. Technical complications were seen in 10 (12.5%) cases. Error mean difference comparing the first and the last 40 operations was significant (p = 0.04). Conclusions. Nailing a proximal or segmental fracture with a short proximal fragment, the semiextended position and/or blocking screws should be used. The best results were observed nailing middle 1/3 tibial fractures. Good nail alignment is important performing distal 1/3 tibial fracture nailing. Average error count and duration depends on the number of procedures performed. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2006 |
| CC license |
|
