Biomaterial Database

Dia-metaphyseal distal tibial fractures--treatment with a shortened intramedullary nail: a review of 15 cases. 2000

A S Dogra, and A L Ruiz, and N S Thompson, and P C Nolan

The Royal Victoria Hospital, Fracture Outcomes Research Unit, Ward 41, Belfast, Northern Ireland BT12 6BA, UK. anudogra@yahoo.com

Fifteen patients were reviewed retrospectively with distal tibial fractures treated with a reamed intramedullary nail which had approximately 1 cm removed just distal to the lowermost locking screw. There were 15 patients (nine males and six females). All patients had returned to normal activities of daily living. Eleven patients could perform all leisure activities with no symptoms and three had only minor discomfort, which did not preclude sport. All fractures united, 12 uneventfully and three after a secondary surgical procedure. Three patients had malalignment defined as varus-valgus angulation or recurvatum of 5 degrees or greater. Whilst technically challenging, intramedullary nailing for dia-metaphyseal distal tibial fractures represents a safe and reliable method for managing these injuries. This represents the first report in the English Language literature specifically examining treatment with a shortened tibial nail.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011859	Radiography	Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).	Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001858	Bone Nails	Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.	Bone Pins,Bone Nail,Bone Pin,Nail, Bone,Nails, Bone,Pin, Bone,Pins, Bone
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005594	Fracture Fixation, Intramedullary	The use of nails that are inserted into bone cavities in order to keep fractured bones together.	Intramedullary Nailing,Nailing, Intramedullary,Osteosynthesis, Fracture, Intramedullary,Fixation, Intramedullary Fracture,Fixations, Intramedullary Fracture,Fracture Fixations, Intramedullary,Intramedullary Fracture Fixation,Intramedullary Fracture Fixations,Intramedullary Nailings,Nailings, Intramedullary
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective