Interlocking intramedullary nailing is currently the preferred treatment for most tibial fractures requiring operative treatment, with good results and a relatively low complication rate as reported in large clinical series. However, vascular and neurological complications caused by interlocking screws have been reported. In addition, insertion of distal interlocking screws can be technically demanding and may entail substantial exposure. We present the results with an expandable self-locking nail in the management of 52 AO type A and B tibial shaft fractures. The mean time to union was 15.8 weeks and the rate of union was 98%. The average surgical time was 60 minutes. Complications were those usually seen in diaphysis nailing and no complication was noted during nail expansion. Interlocking screws are not necessary, which reduces the risk of iatrogenic lesions. The expandable nail allows effective management of AO type A and B diaphyseal fractures of the tibia, a lower radiation exposure and shorter operative time.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Evaluating the microgap and sealing capability in four implant systems with different interlockings under different tightening torques: an study.
J Adv Prosthodont
December 2024
Department Prosthetic Dental Sciences, College of Dentistry, Jouf University, Jouf, Saudia Arabia.
Purpose: This study assessed the microgap width and adhesion of three bacterial species in four dental implants with different interlocks under four screwing torques.
Materials And Methods: Ten samples of four implant systems with various interlockings, including full-hexagonal (FHI), cylindrical-conical trilobe-index (TLI), Morse-taper with octagon terminal index (OI), and hexagonal interlock (slip-fit) (HI-SF), were used. The abutments were screwed to the fixtures under torques of 10, 20, 30, and 40 Ncm.
Next-Generation Custom-Fit Reusable Respiratory Protective Device with Continuous Fit Monitoring - Part I: Custom-Fit Design.
J Int Soc Respir Prot
August 2024
Georgia Institute of Technology, School of Materials Science and Engineering, Atlanta GA USA.
Filtering facepiece respirators (FFRs) are manufactured in discrete sizes, with some models being limited in relation to accommodating the fit of some sex and race combinations. This study presents the development of a custom-fit respiratory protective device (RPD) which conforms to a user's facial features and flexes and moves with facial movements during use. Our design also integrates a pressure-sensing network, which continuously monitors fit and will alert the user when the fit is compromised.
View Article and Find Full Text PDF[Finite element analysis of influence of humerus torque screw tip distance on stability of proximal humeral fracture plate fixation].
Zhongguo Gu Shang
December 2024
Department of Orthopaedics, Jiangyan Hospital of Traditional Chinese Medicine, Taizhou 225599, Jiangsu, China.
Objective: To explore changes of humerus torque screw tip distance on stability of proximal humeral internal locking system (PHILOS) by finite element analysis, in order to provide reference for selection of intraoperative plant size.
Methods: The proximal humerus 3D model was constructed based on Synbone artificial bone model in 3D engineering drawing software, and the corresponding 3D model was constructed based on PHILOS bone plate contour. The model was modified to simulate comminuted proximal humerus fracture, and the operation model was simulated after fracture, and the fixed operation model was assembled, the apex distance of humerus moment screw was set as 4, 8, 12 and 16 mm respectively.
Comminuted Transverse Femoral Shaft Fractures Are at Risk for Nonunion.
Kurume Med J
November 2024
Department of Orthopaedic Surgery, Saiseikai Fukuoka General Hospital.
Background: The purpose of this study was to investigate the effect of the main fragment fracture type (oblique or transverse) on the union rate of femoral shaft fractures.
Methods: Patients who underwent surgical treatment with an antegrade intramedullary nail for femoral shaft fracture (Arbeitsgemeinschaft für Osteosynthesefragen / Orthopaedic Trauma Association; AO/OTA type 32 type B or C) between January 2009 and March 2021 were included in this study. Patients with oblique fractures of the two main fragments on radiographs immediately after surgery were classified into the oblique fracture group.
A Retrospective Comparison of Headless Versus Standard Interlocking Screw Fixation of Tibia Intramedullary Nails.
J Am Acad Orthop Surg
February 2025
From the Department of Orthopaedics, Denver Health Medical Center; University of Colorado School of Medicine, Denver, CO.
Introduction: Symptomatic interlocking screws are common after intramedullary nail fixation of tibia fractures. Low-profile headless interlocking screws recently became available and could potentially reduce the rate of symptomatic screws. The purpose of this study was to compare the rate of symptomatic screws and screw removals between these screw types.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!