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Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?

Aim. To evaluate the clinical use of blocking screws as a supplement to stability in distal tibial metaphyseal fractures treated with statically locked intramedullary nail. Main Outcome Measurement. Alignment and reduction preoperatively, postoperatively, and at healing were the main outcome measure...

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Autores principales: Moongilpatti Sengodan, Mugundhan, Vaidyanathan, Singaravadivelu, Karunanandaganapathy, Sankaralingam, Subbiah Subramanian, Sukumaran, Rajamani, Samuel Gnanam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045363/
https://www.ncbi.nlm.nih.gov/pubmed/24967128
http://dx.doi.org/10.1155/2014/542623
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author Moongilpatti Sengodan, Mugundhan
Vaidyanathan, Singaravadivelu
Karunanandaganapathy, Sankaralingam
Subbiah Subramanian, Sukumaran
Rajamani, Samuel Gnanam
author_facet Moongilpatti Sengodan, Mugundhan
Vaidyanathan, Singaravadivelu
Karunanandaganapathy, Sankaralingam
Subbiah Subramanian, Sukumaran
Rajamani, Samuel Gnanam
author_sort Moongilpatti Sengodan, Mugundhan
collection PubMed
description Aim. To evaluate the clinical use of blocking screws as a supplement to stability in distal tibial metaphyseal fractures treated with statically locked intramedullary nail. Main Outcome Measurement. Alignment and reduction preoperatively, postoperatively, and at healing were the main outcome measured with an emphasis on maintenance of initial reduction on followup. Patients and Methods. This was a prospective study of 20 consecutive cases of distal tibial metaphyseal fractures treated with statically locked intramedullary nailing with supplementary blocking screw between August 2006 and September 2007 with a maximum followup of 3 years. Medullary canal diameter was measured at the levels of fracture and isthmus. Results. The mean diameter of tibia at the level of isthmus was 11.9 mm and at the fracture site was 22.9 mm. Mean length of distal fracture segment was 4.6 cm. Mean varus/valgus alignment was 10.3 degrees preoperatively and 1.7 degrees immediatly postoperatively and was maintained till union. Using Karlstrom-Olerud score the outcome was excellent to good in 90%. Conclusion. We conclude that the use of blocking screw as a supplement will aid in achieving and maintaining the reduction of distal tibial metaphyseal fractures when treated with intramedullary nailing thereby extending the indication of intramedullary nailing.
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spelling pubmed-40453632014-06-25 Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing? Moongilpatti Sengodan, Mugundhan Vaidyanathan, Singaravadivelu Karunanandaganapathy, Sankaralingam Subbiah Subramanian, Sukumaran Rajamani, Samuel Gnanam ISRN Orthop Clinical Study Aim. To evaluate the clinical use of blocking screws as a supplement to stability in distal tibial metaphyseal fractures treated with statically locked intramedullary nail. Main Outcome Measurement. Alignment and reduction preoperatively, postoperatively, and at healing were the main outcome measured with an emphasis on maintenance of initial reduction on followup. Patients and Methods. This was a prospective study of 20 consecutive cases of distal tibial metaphyseal fractures treated with statically locked intramedullary nailing with supplementary blocking screw between August 2006 and September 2007 with a maximum followup of 3 years. Medullary canal diameter was measured at the levels of fracture and isthmus. Results. The mean diameter of tibia at the level of isthmus was 11.9 mm and at the fracture site was 22.9 mm. Mean length of distal fracture segment was 4.6 cm. Mean varus/valgus alignment was 10.3 degrees preoperatively and 1.7 degrees immediatly postoperatively and was maintained till union. Using Karlstrom-Olerud score the outcome was excellent to good in 90%. Conclusion. We conclude that the use of blocking screw as a supplement will aid in achieving and maintaining the reduction of distal tibial metaphyseal fractures when treated with intramedullary nailing thereby extending the indication of intramedullary nailing. Hindawi Publishing Corporation 2014-02-17 /pmc/articles/PMC4045363/ /pubmed/24967128 http://dx.doi.org/10.1155/2014/542623 Text en Copyright © 2014 Mugundhan Moongilpatti Sengodan et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Moongilpatti Sengodan, Mugundhan
Vaidyanathan, Singaravadivelu
Karunanandaganapathy, Sankaralingam
Subbiah Subramanian, Sukumaran
Rajamani, Samuel Gnanam
Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title_full Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title_fullStr Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title_full_unstemmed Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title_short Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?
title_sort distal tibial metaphyseal fractures: does blocking screw extend the indication of intramedullary nailing?
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045363/
https://www.ncbi.nlm.nih.gov/pubmed/24967128
http://dx.doi.org/10.1155/2014/542623
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