Tibial Tubercle-Medial Malleolar Distance in Determining Tibial Nail Length
OBJECTIVE:To assess the accuracy of a previously undescribed method of determining tibial nail length based on anatomic landmarks. DESIGN:Cadaveric study. METHODS:Four methods of tibial nail length determination were compared. Nail lengths for each of fourteen cadaveric lower extremities were determ...
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| Veröffentlicht in: | Journal of orthopaedic trauma 2000-06, Vol.14 (5), p.345-348 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Colen, Robert P Prieskorn, David W |
| description | OBJECTIVE:To assess the accuracy of a previously undescribed method of determining tibial nail length based on anatomic landmarks.
DESIGN:Cadaveric study.
METHODS:Four methods of tibial nail length determination were compared. Nail lengths for each of fourteen cadaveric lower extremities were determined using full-length scanograms, spotograms, acrylic template overlays, and the distance between the tibial tubercle and the medial malleolus (TMD). Each tibia was then nailed. The accuracy of each method was then evaluated.
RESULTS:The full-length scanogram method resulted in incorrect nail lengths in eleven of fourteen (79 percent) cases. Six of fourteen (43 percent) incorrect nail lengths resulted from the use of spotograms. All measurements made with the Template technique yielded nails that were too short (100 percent). The TMD method rendered four of fourteen (29 percent) nails of incorrect size.
CONCLUSION:The tibial tubercle-medial distance (TMD) proved an easy, inexpensive, and accurate method of preoperative nail assessment. |
| doi_str_mv | 10.1097/00005131-200006000-00007 |
| format | Article |
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DESIGN:Cadaveric study.
METHODS:Four methods of tibial nail length determination were compared. Nail lengths for each of fourteen cadaveric lower extremities were determined using full-length scanograms, spotograms, acrylic template overlays, and the distance between the tibial tubercle and the medial malleolus (TMD). Each tibia was then nailed. The accuracy of each method was then evaluated.
RESULTS:The full-length scanogram method resulted in incorrect nail lengths in eleven of fourteen (79 percent) cases. Six of fourteen (43 percent) incorrect nail lengths resulted from the use of spotograms. All measurements made with the Template technique yielded nails that were too short (100 percent). The TMD method rendered four of fourteen (29 percent) nails of incorrect size.
CONCLUSION:The tibial tubercle-medial distance (TMD) proved an easy, inexpensive, and accurate method of preoperative nail assessment.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-200006000-00007</identifier><identifier>PMID: 10926242</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Ankle Joint - pathology ; Anthropometry ; Biological and medical sciences ; Equipment Design ; Fracture Fixation, Intramedullary - instrumentation ; Humans ; Knee Joint - pathology ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Technology. Biomaterials. Equipments ; Tibial Fractures - pathology ; Tibial Fractures - surgery</subject><ispartof>Journal of orthopaedic trauma, 2000-06, Vol.14 (5), p.345-348</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4147-1dc7dd218773957bc964095067691d978c38126d3f96f78d5fb9e389f840e95e3</citedby><cites>FETCH-LOGICAL-c4147-1dc7dd218773957bc964095067691d978c38126d3f96f78d5fb9e389f840e95e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1466287$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10926242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colen, Robert P</creatorcontrib><creatorcontrib>Prieskorn, David W</creatorcontrib><title>Tibial Tubercle-Medial Malleolar Distance in Determining Tibial Nail Length</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>OBJECTIVE:To assess the accuracy of a previously undescribed method of determining tibial nail length based on anatomic landmarks.
DESIGN:Cadaveric study.
METHODS:Four methods of tibial nail length determination were compared. Nail lengths for each of fourteen cadaveric lower extremities were determined using full-length scanograms, spotograms, acrylic template overlays, and the distance between the tibial tubercle and the medial malleolus (TMD). Each tibia was then nailed. The accuracy of each method was then evaluated.
RESULTS:The full-length scanogram method resulted in incorrect nail lengths in eleven of fourteen (79 percent) cases. Six of fourteen (43 percent) incorrect nail lengths resulted from the use of spotograms. All measurements made with the Template technique yielded nails that were too short (100 percent). The TMD method rendered four of fourteen (29 percent) nails of incorrect size.
CONCLUSION:The tibial tubercle-medial distance (TMD) proved an easy, inexpensive, and accurate method of preoperative nail assessment.</description><subject>Adult</subject><subject>Ankle Joint - pathology</subject><subject>Anthropometry</subject><subject>Biological and medical sciences</subject><subject>Equipment Design</subject><subject>Fracture Fixation, Intramedullary - instrumentation</subject><subject>Humans</subject><subject>Knee Joint - pathology</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Tibial Fractures - pathology</subject><subject>Tibial Fractures - surgery</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kclOwzAQhi0EgrK8AsoBcQt4SbwcEbsocClny3Em1OAmYCeqeHscWpYLliyPR9_8lj4jlBF8QrASpzitkjCS07HiaedjITbQhJRjmyqyiSZYKpyXjKkdtBvjSyIkpnQb7aQQymlBJ-hu5ipnfDYbKgjWQ34P9Xi_N95D503ILlzsTWshc212AT2EhWtd-5ytBx-M89kU2ud-vo-2GuMjHKzPPfR0dTk7v8mnj9e352fT3BakEDmprahrSqQQTJWisooXWJWYC65IrYS0TBLKa9Yo3ghZl02lgEnVyAKDKoHtoeNV7lvo3geIvV64aMF700I3RC0ILTjjPIFyBdrQxRig0W_BLUz40ATrUaT-Fql_RH61RBo9XL8xVAuo_wyuzCXgaA2YaI1vQnLk4i9XcE7lmFOssGXnk7v46oclBD0H4_u5_u8f2SemeofR</recordid><startdate>200006</startdate><enddate>200006</enddate><creator>Colen, Robert P</creator><creator>Prieskorn, David 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>200006</creationdate><title>Tibial Tubercle-Medial Malleolar Distance in Determining Tibial Nail Length</title><author>Colen, Robert P ; Prieskorn, David W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4147-1dc7dd218773957bc964095067691d978c38126d3f96f78d5fb9e389f840e95e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Ankle Joint - pathology</topic><topic>Anthropometry</topic><topic>Biological and medical sciences</topic><topic>Equipment Design</topic><topic>Fracture Fixation, Intramedullary - instrumentation</topic><topic>Humans</topic><topic>Knee Joint - pathology</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Tibial Fractures - pathology</topic><topic>Tibial Fractures - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colen, Robert P</creatorcontrib><creatorcontrib>Prieskorn, David 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>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colen, Robert P</au><au>Prieskorn, David W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tibial Tubercle-Medial Malleolar Distance in Determining Tibial Nail Length</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>2000-06</date><risdate>2000</risdate><volume>14</volume><issue>5</issue><spage>345</spage><epage>348</epage><pages>345-348</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>OBJECTIVE:To assess the accuracy of a previously undescribed method of determining tibial nail length based on anatomic landmarks.
DESIGN:Cadaveric study.
METHODS:Four methods of tibial nail length determination were compared. Nail lengths for each of fourteen cadaveric lower extremities were determined using full-length scanograms, spotograms, acrylic template overlays, and the distance between the tibial tubercle and the medial malleolus (TMD). Each tibia was then nailed. The accuracy of each method was then evaluated.
RESULTS:The full-length scanogram method resulted in incorrect nail lengths in eleven of fourteen (79 percent) cases. Six of fourteen (43 percent) incorrect nail lengths resulted from the use of spotograms. All measurements made with the Template technique yielded nails that were too short (100 percent). The TMD method rendered four of fourteen (29 percent) nails of incorrect size.
CONCLUSION:The tibial tubercle-medial distance (TMD) proved an easy, inexpensive, and accurate method of preoperative nail assessment.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>10926242</pmid><doi>10.1097/00005131-200006000-00007</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of orthopaedic trauma, 2000-06, Vol.14 (5), p.345-348 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Ankle Joint - pathology Anthropometry Biological and medical sciences Equipment Design Fracture Fixation, Intramedullary - instrumentation Humans Knee Joint - pathology Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Technology. Biomaterials. Equipments Tibial Fractures - pathology Tibial Fractures - surgery |
| title | Tibial Tubercle-Medial Malleolar Distance in Determining Tibial Nail Length |
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