Purpose: No validated method currently exists to preoperatively estimate tibial nail length for tibial fractures. While various anthropometric measurements have been suggested, none seem to allow for both accuracy and practicality, complicating treatment. This study aimed to evaluate the use of patient body height in preoperatively predicting tibial nail length.
Methods: Patients with tibial fractures treated with intramedullary nail at a single level 1 trauma center were included. Patient body height and tibial nail size were used to develop a predictive equation.
Results: 220 patients were included and reviewed in this study. A logarithmic predictive equation was developed to accurately predict tibial nail length 82% of the time.
Conclusions: Tibial nail length can be accurately predicted from patient body height. Compared to other anthropometric measurements, patient body height can be easily and consistently measured. Additionally, this study involved the largest sample size compared to other anthropometric studies predicting tibial nail length.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077524 | PMC |
http://dx.doi.org/10.1016/j.jor.2022.04.011 | DOI Listing |
Eur J Trauma Emerg Surg
January 2025
AO Research Institute Davos, Davos, Switzerland.
Background: Digitally Enhanced Hands-on Surgical Training (DEHST) platform was introduced to overcome the lack of training capabilities for the challenging task of freehand distal interlocking of intramedullary nails. It demonstrates high perceived realism for surgeons, and novices perform significantly better after DEHST training. However, characterization of how performance improves remained unexplored.
View Article and Find Full Text PDFJ Orthop Trauma
October 2024
Department of Orthopaedic Surgery, Guro Hospital, Korea University Medical Center, Seoul, Republic of Korea.
Objectives: To compare the consolidation quality between the anteromedial aspect of regenerated bone (AMRB) and other areas of regenerated bone (TORB) following the induced membrane technique (IMT) for managing critical-sized tibial shaft bone defects, and determine the factors affecting consolidation quality in the AMRB.
Methods: Design: Retrospective comparative study.
Setting: Academic Level I trauma center.
Injury
December 2024
Department of Orthopaedics, Larnaca General Hospital, State Health Services Organisation, Larnaca, Cyprus.
The purpose of this study was to establish typical dose values at orthopaedic operating rooms of the Larnaca General Hospital (LGH). Kerma area product (KAP), fluoroscopy time (FT) and cumulative air-kerma (K) measurements were collected for 821 patients who underwent common and reproducible trauma surgery over a five-year period, with three mobile C-arm systems; two equipped with an image-intensifier and one with a flat-panel detector. Dose indices were automatically extracted from radiation dose structured reports or DICOM meta-data files archived in the PACS, using custom-made software.
View Article and Find Full Text PDFOchsner J
January 2024
Department of Orthopedics, University of New Mexico School of Medicine, Albuquerque, NM.
Complete talar extrusion is a rare injury that is typically caused by high-energy impact. Treatment for a completely extruded talus is limited and has variable outcomes and complications. Tibiocalcaneal arthrodesis is one of the best treatments for restoring stability and reducing pain in the affected limb.
View Article and Find Full Text PDFAm J Vet Res
December 2024
Department of Small Animal Surgery, ONIRIS Nantes-Atlantic College of Veterinary Medicine, Food Science, and Engineering, Nantes, France.
Objective: To study the morphology of canine and feline femurs and tibias in lateral radiographic projections and assess their compatibility with either a straight or a curved full-length interlocking nail (ILN).
Methods: Lateral projection radiographs of 50 tibias and 50 femurs (10 cats and 40 dogs per bone) were used to measure the minimum and maximum radius of curvature of an ILN compatible with each bone. These radii were defined by cranial and caudal endosteal points at the proximal entry point of the nail, at the isthmus, and at the most distal point of the ILN insertion into the femoral or tibial metaphysis.
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