Intramedullary Nailing of Proximal and Distal One-Third Tibial Shaft Fractures With Intraoperative Two-Pin External Fixation
BACKGROUND:Fractures of the proximal and distal one thirds of the tibial shaft have historically higher malunion rates than those of the midshaft. This retrospective case series evaluates the postoperative radiographic outcome of intramedullary nailing of proximal and distal one-third tibial shaft f...
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| Veröffentlicht in: | The Journal of trauma, injury, infection, and critical care injury, infection, and critical care, 2009-04, Vol.66 (4), p.1135-1139 |
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| container_title | The Journal of trauma, injury, infection, and critical care |
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| creator | Wysocki, Robert W. Kapotas, James S. Virkus, Walter W. |
| description | BACKGROUND:Fractures of the proximal and distal one thirds of the tibial shaft have historically higher malunion rates than those of the midshaft. This retrospective case series evaluates the postoperative radiographic outcome of intramedullary nailing of proximal and distal one-third tibial shaft fractures using intraoperative two-pin external fixation, often referred to as traveling traction.
MATERIALS AND METHODS:Between 2000 and 2005, 15 consecutive patients with proximal third and 27 consecutive patients with distal third displaced extra-articular fractures of the tibia were treated with statically locked intramedullary nailing and supplementary intraoperative two-pin rectangular frame external fixation. The external fixation was removed once the proximal and distal locking screws were in place. The alignment of the fractures was determined using standard postoperative anteroposterior and lateral radiographs.
RESULTS:Postoperatively, 14 of 15 patients with proximal fractures and 25 of 27 patients with distal fractures had less than 5 degrees of angular deformity in both the coronal and sagittal planes and less than 1 cm shortening.
CONCLUSIONS:Statically locked intramedullary nailing with simultaneous intraoperative traveling traction external fixation as treatment for proximal and distal one-third extra-articular tibial shaft fractures is successful in achieving a high rate of acceptable postoperative alignment. |
| doi_str_mv | 10.1097/TA.0b013e3181724754 |
| format | Article |
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MATERIALS AND METHODS:Between 2000 and 2005, 15 consecutive patients with proximal third and 27 consecutive patients with distal third displaced extra-articular fractures of the tibia were treated with statically locked intramedullary nailing and supplementary intraoperative two-pin rectangular frame external fixation. The external fixation was removed once the proximal and distal locking screws were in place. The alignment of the fractures was determined using standard postoperative anteroposterior and lateral radiographs.
RESULTS:Postoperatively, 14 of 15 patients with proximal fractures and 25 of 27 patients with distal fractures had less than 5 degrees of angular deformity in both the coronal and sagittal planes and less than 1 cm shortening.
CONCLUSIONS:Statically locked intramedullary nailing with simultaneous intraoperative traveling traction external fixation as treatment for proximal and distal one-third extra-articular tibial shaft fractures is successful in achieving a high rate of acceptable postoperative alignment.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/TA.0b013e3181724754</identifier><identifier>PMID: 19359926</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Bone Nails ; Diseases of the osteoarticular system ; External Fixators ; Female ; Fracture Fixation - methods ; Fracture Fixation, Intramedullary - methods ; Fractures, Malunited - prevention & control ; Fractures, Open - surgery ; General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Retrospective Studies ; Tibial Fractures - surgery ; Traumas. Diseases due to physical agents</subject><ispartof>The Journal of trauma, injury, infection, and critical care, 2009-04, Vol.66 (4), p.1135-1139</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4487-a2f2fa3cf044f919423a148f6b071467f25983b8fe375deb3ddc5ebe9f7be6233</citedby><cites>FETCH-LOGICAL-c4487-a2f2fa3cf044f919423a148f6b071467f25983b8fe375deb3ddc5ebe9f7be6233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21366946$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19359926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wysocki, Robert W.</creatorcontrib><creatorcontrib>Kapotas, James S.</creatorcontrib><creatorcontrib>Virkus, Walter W.</creatorcontrib><title>Intramedullary Nailing of Proximal and Distal One-Third Tibial Shaft Fractures With Intraoperative Two-Pin External Fixation</title><title>The Journal of trauma, injury, infection, and critical care</title><addtitle>J Trauma</addtitle><description>BACKGROUND:Fractures of the proximal and distal one thirds of the tibial shaft have historically higher malunion rates than those of the midshaft. This retrospective case series evaluates the postoperative radiographic outcome of intramedullary nailing of proximal and distal one-third tibial shaft fractures using intraoperative two-pin external fixation, often referred to as traveling traction.
MATERIALS AND METHODS:Between 2000 and 2005, 15 consecutive patients with proximal third and 27 consecutive patients with distal third displaced extra-articular fractures of the tibia were treated with statically locked intramedullary nailing and supplementary intraoperative two-pin rectangular frame external fixation. The external fixation was removed once the proximal and distal locking screws were in place. The alignment of the fractures was determined using standard postoperative anteroposterior and lateral radiographs.
RESULTS:Postoperatively, 14 of 15 patients with proximal fractures and 25 of 27 patients with distal fractures had less than 5 degrees of angular deformity in both the coronal and sagittal planes and less than 1 cm shortening.
CONCLUSIONS:Statically locked intramedullary nailing with simultaneous intraoperative traveling traction external fixation as treatment for proximal and distal one-third extra-articular tibial shaft fractures is successful in achieving a high rate of acceptable postoperative alignment.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bone Nails</subject><subject>Diseases of the osteoarticular system</subject><subject>External Fixators</subject><subject>Female</subject><subject>Fracture Fixation - methods</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Fractures, Malunited - prevention & control</subject><subject>Fractures, Open - surgery</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Retrospective Studies</subject><subject>Tibial Fractures - surgery</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV1v0zAUhi3ExLrCL0BCvoE7D38lji-rsY5JE5tEEJeWkxwTg5sUO1k7iR8_j1ZM4sKyj_28R_ZjhN4yes6oVh_r1TltKBMgWMUUl6qQL9CCFVyTqqL6JVpQyjkpeMVP0VlKPymlUorqFTplWhRa83KB_lwPU7Qb6OYQbHzAX6wPfviBR4fv4rj3GxuwHTr8yacpL28HIHXvY4dr3_i88bW3bsLraNtpjpDwdz_1-G_PcQvRTv4ecL0byZ0f8OV-gjjk0Nrv88k4vEYnzoYEb47zEn1bX9YXn8nN7dX1xeqGtFJWiljuuLOidfn6TjMtubBMVq5sqGKyVI4XuhJN5UCoooNGdF1bQAPaqQZKLsQSfTj03cbx9wxpMhufWsgvHmCckykVY0xklUskDmAbx5QiOLONWUF8MIyaJ-mmXpn_pefUu2P7uckmnzNHyxl4fwRsam1w0Q6tT_84zkRZavnEyQO3G0NWlX6FeQfR9GDD1Jv8fbQQShBOqaYyVyQPrsQjzbybdQ</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Wysocki, Robert W.</creator><creator>Kapotas, James S.</creator><creator>Virkus, Walter W.</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200904</creationdate><title>Intramedullary Nailing of Proximal and Distal One-Third Tibial Shaft Fractures With Intraoperative Two-Pin External Fixation</title><author>Wysocki, Robert W. ; Kapotas, James S. ; Virkus, Walter W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4487-a2f2fa3cf044f919423a148f6b071467f25983b8fe375deb3ddc5ebe9f7be6233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bone Nails</topic><topic>Diseases of the osteoarticular system</topic><topic>External Fixators</topic><topic>Female</topic><topic>Fracture Fixation - methods</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Fractures, Malunited - prevention & control</topic><topic>Fractures, Open - surgery</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Retrospective Studies</topic><topic>Tibial Fractures - surgery</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>online_resources</toplevel><creatorcontrib>Wysocki, Robert W.</creatorcontrib><creatorcontrib>Kapotas, James S.</creatorcontrib><creatorcontrib>Virkus, Walter W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wysocki, Robert W.</au><au>Kapotas, James S.</au><au>Virkus, Walter W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intramedullary Nailing of Proximal and Distal One-Third Tibial Shaft Fractures With Intraoperative Two-Pin External Fixation</atitle><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle><addtitle>J Trauma</addtitle><date>2009-04</date><risdate>2009</risdate><volume>66</volume><issue>4</issue><spage>1135</spage><epage>1139</epage><pages>1135-1139</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUND:Fractures of the proximal and distal one thirds of the tibial shaft have historically higher malunion rates than those of the midshaft. This retrospective case series evaluates the postoperative radiographic outcome of intramedullary nailing of proximal and distal one-third tibial shaft fractures using intraoperative two-pin external fixation, often referred to as traveling traction.
MATERIALS AND METHODS:Between 2000 and 2005, 15 consecutive patients with proximal third and 27 consecutive patients with distal third displaced extra-articular fractures of the tibia were treated with statically locked intramedullary nailing and supplementary intraoperative two-pin rectangular frame external fixation. The external fixation was removed once the proximal and distal locking screws were in place. The alignment of the fractures was determined using standard postoperative anteroposterior and lateral radiographs.
RESULTS:Postoperatively, 14 of 15 patients with proximal fractures and 25 of 27 patients with distal fractures had less than 5 degrees of angular deformity in both the coronal and sagittal planes and less than 1 cm shortening.
CONCLUSIONS:Statically locked intramedullary nailing with simultaneous intraoperative traveling traction external fixation as treatment for proximal and distal one-third extra-articular tibial shaft fractures is successful in achieving a high rate of acceptable postoperative alignment.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19359926</pmid><doi>10.1097/TA.0b013e3181724754</doi><tpages>5</tpages></addata></record> |
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| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bone Nails Diseases of the osteoarticular system External Fixators Female Fracture Fixation - methods Fracture Fixation, Intramedullary - methods Fractures, Malunited - prevention & control Fractures, Open - surgery General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Humans Injuries of the limb. Injuries of the spine Male Medical sciences Retrospective Studies Tibial Fractures - surgery Traumas. Diseases due to physical agents |
| title | Intramedullary Nailing of Proximal and Distal One-Third Tibial Shaft Fractures With Intraoperative Two-Pin External Fixation |
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