Nonunion of the distal one-fourth of the tibia treated by retrograde tibial intramedullary nail.

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  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: England NLM ID: 0346411 Publication Model: Print Cited Medium: Internet ISSN: 1473-2300 (Electronic) Linking ISSN: 03000605 NLM ISO Abbreviation: J Int Med Res Subsets: MEDLINE
    • Publication Information:
      Publication: Nov. 2012- : London : Sage Publications
      Original Publication: Northampton, Eng., Cambridge Medical Publications ltd.
    • Subject Terms:
      Fracture Fixation, Intramedullary*/methods ; Fracture Fixation, Intramedullary*/instrumentation ; Tibial Fractures*/surgery ; Tibial Fractures*/diagnostic imaging ; Fractures, Ununited*/surgery ; Bone Nails*; Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Adult ; Tibia/surgery ; Fracture Healing ; Treatment Outcome ; Follow-Up Studies ; Aged ; Length of Stay/statistics & numerical data
    • Abstract:
      Objective: To evaluate the effectiveness of retrograde tibial intramedullary nail (RTN) in addressing nonunion in the distal one-fourth of the tibia.
      Methods: This retrospective study included consecutive patients who were treated with RTN for nonunion in the distal one-fourth of the tibia between December 2020 and August 2023. Data regarding age, sex, injury mechanism, fracture type, initial fixation method, nonunion duration and type, risk factors, surgical duration, hospital stay, time to bone union, ankle function at final follow-up, and any complications were extracted from hospital records and analysed.
      Results: Five patients in total were included, with previous treatments comprising locking plates and/or external fixation. The mean duration of RTN surgery was 94.0 ± 13.7 min, and mean duration of hospital stay was 9.8 ± 1.9 days. Patients were monitored for 10-18 months post RTN, achieving complete bone healing within a mean of 4.8 months. At the latest follow-up, the mean American Orthopedic Foot and Ankle Society (AOFAS) score was 84.4 ± 6.8 (range, 77-95). No complications, such as infection, reoperation, implant issues, rotational deformity, or shortening were reported.
      Conclusion: RTN emerges as a dependable, minimally invasive, and safe treatment modality for managing nonunion in the distal one-fourth of the tibia.
      Competing Interests: Declaration of conflicting interestThe authors declare that there are no conflicts of interest.
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    • Contributed Indexing:
      Keywords: Distal tibial fractures; Minimally invasive treatment; Nonunion; Plate; Retrograde tibial intramedullary nails
    • Publication Date:
      Date Created: 20241014 Date Completed: 20241014 Latest Revision: 20241021
    • Publication Date:
      20241021
    • Accession Number:
      PMC11489973
    • Accession Number:
      10.1177/03000605241289017
    • Accession Number:
      39397387