Interlocking Intramedullary Nailing for Far Distal Tibia Fractures in AO Classification 43 / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 294-301, 2014.
Artículo
en Coreano
| WPRIM
| ID: wpr-653750
ABSTRACT
PURPOSE:
This retrospective study was conducted in order to evaluate the results of interlocking intramedullary nailing of far distal tibia fractures located within AO classification 43. MATERIALS ANDMETHODS:
Seventy patients with far distal tibia fractures in AO classification 43 treated with interlocking intramedullary nailing from May 2008 to April 2012 were evaluated. The minimum follow-up period was 12 months. We analyzed preoperative fracture pattern, associated injury, and complication. All cases were treated with use of either two or three distal interlocking screws during intramedullary nailing. Patients received regular post-operative radiographic check-up and ankle function was evaluated using the Iowa ankle-evaluation rating system.RESULTS:
The fractures healed completely within an average of 18 weeks. None of the patients showed malaligment on the final radiographic evaluation. Average of varus-valgus aligment was 1.9 degrees and average of anterior-posterior alignment was 1.1 degrees. According to the Iowa ankle-evaluation rating system, we obtained satisfactory clinical results in 14 cases. Complication occurred in two cases. There was one case of hypertrophic nonunion and one breakage of the distal locking screw with delayed union.CONCLUSION:
We consider that interlocking intramedullary nailing of far distal tibia fractures located within AO classification 43 is a considerable method when a plate is not used due to accompanying severe open wound, etc. For satisfactory results, accurate technique and experience of the operator were required.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tibia
/
Heridas y Lesiones
/
Iowa
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Clasificación
/
Fijación Intramedular de Fracturas
/
Tobillo
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2014
Tipo del documento:
Artículo
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