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Ideal entry point and direction of retrograde intramedullary nailing of the tibia

PURPOSE: To determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia. METHODS: The imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data w...

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Autores principales: He, Min, Jiang, Ziyu, Tan, Wenfu, Li, Zhengmao, Peng, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311782/
https://www.ncbi.nlm.nih.gov/pubmed/37386637
http://dx.doi.org/10.1186/s13018-023-03921-3
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author He, Min
Jiang, Ziyu
Tan, Wenfu
Li, Zhengmao
Peng, Bin
author_facet He, Min
Jiang, Ziyu
Tan, Wenfu
Li, Zhengmao
Peng, Bin
author_sort He, Min
collection PubMed
description PURPOSE: To determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia. METHODS: The imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data were imported into the software for processing, so as to obtain a distal tibial fracture model and simulate the retrograde intramedullary nail placement in the tibia. The entry points and angles at which the intramedullary nail could be inserted successfully and the fracture could be maintained in good alignment were overlapped and counted to obtain the safe entry range and angle. The center of this safe range is the ideal entry point for retrograde intramedullary nailing of the tibia, and the mean value of the angle is the ideal direction of entry. RESULTS: The ideal entry point of the retrograde intramedullary nailing was located at the midpoint of the medial malleolus in the C-arm fluoroscopic anteroposterior (AP) and lateral view. The ideal nail entry direction was located at the anatomic axis of the medial malleolus in the AP position and at the anatomic axis of the distal tibial metaphysis in the lateral position. CONCLUSION: The ideal point and direction of nail insertion for retrograde tibial intramedullary nailing is a "double midpoint, double axis" approach.
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spelling pubmed-103117822023-07-01 Ideal entry point and direction of retrograde intramedullary nailing of the tibia He, Min Jiang, Ziyu Tan, Wenfu Li, Zhengmao Peng, Bin J Orthop Surg Res Research Article PURPOSE: To determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia. METHODS: The imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data were imported into the software for processing, so as to obtain a distal tibial fracture model and simulate the retrograde intramedullary nail placement in the tibia. The entry points and angles at which the intramedullary nail could be inserted successfully and the fracture could be maintained in good alignment were overlapped and counted to obtain the safe entry range and angle. The center of this safe range is the ideal entry point for retrograde intramedullary nailing of the tibia, and the mean value of the angle is the ideal direction of entry. RESULTS: The ideal entry point of the retrograde intramedullary nailing was located at the midpoint of the medial malleolus in the C-arm fluoroscopic anteroposterior (AP) and lateral view. The ideal nail entry direction was located at the anatomic axis of the medial malleolus in the AP position and at the anatomic axis of the distal tibial metaphysis in the lateral position. CONCLUSION: The ideal point and direction of nail insertion for retrograde tibial intramedullary nailing is a "double midpoint, double axis" approach. BioMed Central 2023-06-29 /pmc/articles/PMC10311782/ /pubmed/37386637 http://dx.doi.org/10.1186/s13018-023-03921-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
He, Min
Jiang, Ziyu
Tan, Wenfu
Li, Zhengmao
Peng, Bin
Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title_full Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title_fullStr Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title_full_unstemmed Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title_short Ideal entry point and direction of retrograde intramedullary nailing of the tibia
title_sort ideal entry point and direction of retrograde intramedullary nailing of the tibia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311782/
https://www.ncbi.nlm.nih.gov/pubmed/37386637
http://dx.doi.org/10.1186/s13018-023-03921-3
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