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Malrotation following reamed intramedullary nailing of closed tibial fractures

BACKGROUND: Rotational malalignment after intramedullary tibial nailing is rarely addressed in clinical studies. Malrotation (especially >10°)of the lower extremity can lead to development and progression of degenerative changes in knee and ankle joints. The purpose of this study is to determine...

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Autores principales: Jafarinejad, Adel Ebrahimpour, Bakhshi, Hooman, Haghnegahdar, Maryam, Ghomeishi, Nima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377142/
https://www.ncbi.nlm.nih.gov/pubmed/22719118
http://dx.doi.org/10.4103/0019-5413.96395
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author Jafarinejad, Adel Ebrahimpour
Bakhshi, Hooman
Haghnegahdar, Maryam
Ghomeishi, Nima
author_facet Jafarinejad, Adel Ebrahimpour
Bakhshi, Hooman
Haghnegahdar, Maryam
Ghomeishi, Nima
author_sort Jafarinejad, Adel Ebrahimpour
collection PubMed
description BACKGROUND: Rotational malalignment after intramedullary tibial nailing is rarely addressed in clinical studies. Malrotation (especially >10°)of the lower extremity can lead to development and progression of degenerative changes in knee and ankle joints. The purpose of this study is to determine the incidence and severity of tibial malrotation after reamed intramedullary nailing for closed diaphyseal tibial fractures. MATERIALS AND METHODS: Sixty patients (53 males and 7 females) with tibial diaphyseal fracture were included in this study. The mean age of the patients was 33.4±13.3 years. All fractures were manually reduced and fixed using reamed intramedullary nailing. A standard method using bilateral limited computerized tomography was used to measure the tibial torsion. A difference greater than 10° between two tibiae was defined as malrotation. RESULTS: Eighteen (30%) patients had malrotation of more than 10°. Malrotation was greater than 15° in seven cases. Good or excellent rotational reduction was achieved in 70% of the patients. There was no statistically significant relation between AO tibial fracture classification and fibular fixation and malrotation of greater than 10°. CONCLUSIONS: Considering the high incidence rate of tibial malrotation following intramedullary nailing, we need a precise method to evaluate the torsion intraoperatively to prevent the problem.
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spelling pubmed-33771422012-06-20 Malrotation following reamed intramedullary nailing of closed tibial fractures Jafarinejad, Adel Ebrahimpour Bakhshi, Hooman Haghnegahdar, Maryam Ghomeishi, Nima Indian J Orthop Original Article BACKGROUND: Rotational malalignment after intramedullary tibial nailing is rarely addressed in clinical studies. Malrotation (especially >10°)of the lower extremity can lead to development and progression of degenerative changes in knee and ankle joints. The purpose of this study is to determine the incidence and severity of tibial malrotation after reamed intramedullary nailing for closed diaphyseal tibial fractures. MATERIALS AND METHODS: Sixty patients (53 males and 7 females) with tibial diaphyseal fracture were included in this study. The mean age of the patients was 33.4±13.3 years. All fractures were manually reduced and fixed using reamed intramedullary nailing. A standard method using bilateral limited computerized tomography was used to measure the tibial torsion. A difference greater than 10° between two tibiae was defined as malrotation. RESULTS: Eighteen (30%) patients had malrotation of more than 10°. Malrotation was greater than 15° in seven cases. Good or excellent rotational reduction was achieved in 70% of the patients. There was no statistically significant relation between AO tibial fracture classification and fibular fixation and malrotation of greater than 10°. CONCLUSIONS: Considering the high incidence rate of tibial malrotation following intramedullary nailing, we need a precise method to evaluate the torsion intraoperatively to prevent the problem. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3377142/ /pubmed/22719118 http://dx.doi.org/10.4103/0019-5413.96395 Text en Copyright: © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jafarinejad, Adel Ebrahimpour
Bakhshi, Hooman
Haghnegahdar, Maryam
Ghomeishi, Nima
Malrotation following reamed intramedullary nailing of closed tibial fractures
title Malrotation following reamed intramedullary nailing of closed tibial fractures
title_full Malrotation following reamed intramedullary nailing of closed tibial fractures
title_fullStr Malrotation following reamed intramedullary nailing of closed tibial fractures
title_full_unstemmed Malrotation following reamed intramedullary nailing of closed tibial fractures
title_short Malrotation following reamed intramedullary nailing of closed tibial fractures
title_sort malrotation following reamed intramedullary nailing of closed tibial fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377142/
https://www.ncbi.nlm.nih.gov/pubmed/22719118
http://dx.doi.org/10.4103/0019-5413.96395
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