PURPOSE We analyzed the result of treatment for most distal extraarticular tibial fracture using interlocking intramedullary nail. MATERIALS AND METHODS From January 1999 to April 2002, 8 patients who had most distal tibial fracture were treated by interlocking intramedullary nailing. The duration of follow-up was more than 12 months. The mean age was 41.5 years old. There were 5 males and 3 females. During follow-up period, we evaluated the bone union, range of motion of knee and ankle joint and gait pattern. RESULTS The average distance from fracture line to ankle joint line was 1.1 cm. The bone union was achieved at average 18.6 weeks. At the last follow-up, there was no limited motion on knee. But at one case, ankle range of motion was limited from 5 degree extension to 35 degree flexion. There was no gait disturbance. CONCLUSION Interlocking intramedullary nailing can be recommendable and useful in the most distal tibial fractures.
Citations
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Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung Journal of Korean Foot and Ankle Society.2015; 19(3): 86. CrossRef
Interlocking Intramedullary Nail in Distal Tibia Fracture Oog Jin Shon, Sung Min Chung Journal of the Korean Fracture Society.2007; 20(1): 13. CrossRef
PURPOSE We have used the proximal femoral nailing (PFN(R)) to evaluate the result of treatment for unstable femoral peritrochanteric fractures. MATERIALS AND METHODS From December 2000 to December 2001, 20 patients who had femoral peritrochanteric fracture were treated with proximal femoral nail (PFN(R)) in our hospital. The mean duration of follow-up was 16.8 months and average age was 58.7 years old. We evaluated the ambulation time, bone union time, neck-shaft angle, neck screw sliding by follow-up radiography, and studied the intra-operative and post-operative complication. RESULTS The average ambulation time was 3.8 days, the mean bone union time was 20.9 weeks, the mean neck shaft angle was 130.2 degree at post-operative time and 128.8 degree at last follow-up time, and the average neck screw sliding distance was 4.1 mm. The intra-operative complication was rotation of proximal fracture fragment in 1 case and displacement of femoral greater trochanter in 2 cases at proximal reaming, and displacement of proximal fracture fragment in 1 case at femoral stem insertion. The post-operative complication was coxa vara deformity in 2 cases and superficial wound infection in 1 case. CONCLUSION We have conclude that the proximal femoral nail (PFN(R)) could appropriately treat the unstable femoral peritrochanteric fracture and we obtained satisfactory results.
Citations
Citations to this article as recorded by
Treatment of Unstable Pertrochanteric Fractures with a Long Intramedullary Nail Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Dae Jung Huh Hip & Pelvis.2013; 25(1): 51. CrossRef
Operative Treatment with ITST in Femur Trochanteric Fracture Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park Journal of the Korean Fracture Society.2008; 21(4): 274. CrossRef
Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision Se Dong Kim, Oog Jin Sohn, Jae Ho Cho Journal of the Korean Fracture Society.2008; 21(1): 1. CrossRef