Comparative study of static versus dynamic intramedullary nailing of tibia
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Reamed intramedullary nails have become the treatment of choice for the majority of these fractures. Rates of union in both femoral and tibial shaft fractures have been reported to range from 90% to 100% with the use of intramedullary nails. Intramedullary nailing is synthesis and consolidation of fracture fragments with the main goal to gain strength and permanent placement of the implants. Two techniques of intramedullary osteosynthesis are used: with dynamic or with static intramedullary nail. Dynamisation include conversion of static nail by removing screws from the longest fragment. Materials & Methods: This was a retrospective case–control study of closed or type I open tibial diaphyseal fractures (types A and B according to the AO classification) treated with dynamic nailing (30 cases) or static nailing (30 cases). The type of intramedullary nail, the surgical technique and the postoperative protocol were similar for both groups, with the exception of the locking mode and the time of weight bearing. Time to union, mechanical and biological complications, and the number and type of re-operations needed until union were recorded and analysed. Results: The mean time to union was 21 weeks in the dynamic group and 26 weeks in the static group. A strong trend was seen in favour of the dynamic nailing group. (p < 0.01) statistically significant difference was observed. Sixteen out of the 60 patients (26.9%) had at least one complication Conclusions: Dynamic nailing assembly in intramedullary nailing in closed or type I open tibial diaphyseal fractures with limited comminution (types A and B according to the AO classification) is safe when used for these fracture types.
Authors and Affiliations
Dr. Ashish M Somani, Dr. Mahammad Akram A Saji, Dr. Yash B Rabari, Dr. Ranjan Kumar Gupta, Dr. Ajinkya Bhaskarrao Jadhao, Dr. Nawaz Sharif
Keywords
Related Articles
- EP ID EP498241
- DOI 10.22271/ortho.2017.v3.i3e.52
- Views 106
- Downloads 0
Results of open fractures of tibia treated by external fixator as primary and definitive procedure
Unilateral AO external fixator was used as primary and definitive procedure for treatment of open fractures of both bones of leg. There were 37 patients, and according to Gustilo and Anderson classification there were 20...
Study of role of prosthetic replacement for comminuted fracture of head of radius
Objective: We had evaluated our experience in the treatment of Morrey Modified Masons type III and IV radial head fractures with radial head prosthesis. Materials and Methods: From April 2014 to September 2017, modular r...
Evaluation of treatment of diaphyseal fracture of humerus: Dynamic compression plate versus interlocking nail: A prospective randomized controlled study
Fracture shaft of the humerus is a common injury in orthopaedic practice. Conservative management with plaster gives good result but this method cannot be applied in situations which necessitates internal fixation. There...
To compare the “efficacy of pneumatic compression therapy (PCT), lymphatic drainage exercises (LDE) and control group in patient with upper limb lymphoedema
Introduction: Lymphoedema is a common, chronic, progressive and often debilitating disease caused by the accumulation of protein-rich fluid in the interstitial spaces. Lymphoedema most frequently affects the extremities,...
Operative management and radiological outcome of sacroiliac joint fractures and dislocation: A cross sectional study
Pelvic ring fractures are the most unstable fractures because of the posterior ring disruption. Motor vehicle accidents lead to high-energy pelvic ring fractures, which leads to the sacroiliac joint disruption with compl...