Staying Out of Trouble With Intramedullary Nailing of Distal Tibia Fractures.

Staying Out of Trouble With Intramedullary Nailing of Distal Tibia Fractures.
J Am Acad Orthop Surg. 2020 Nov 02;:
Authors: Lee C, Brodke DJ, Stefanski JT, Gurbani A
Abstract
As the biologically friendly and biomechanically sound technique of intramedullary fixation has been increasingly applied to distal tibia diaphyseal fractures, challenges with the technique have emerged. Malalignment, most often valgus and recurvatum, is more common than with mid-diaphyseal patterns, given the lack of endosteal fit, and this can be challenging to prevent. Key technical steps can ensure success. These include recognition and initial fixation of intra-articular fracture planes, the use of percutaneous clamps, a slightly lateral terminal nail position, and the use of blocking wires or screws to prevent malalignment after nail passage. With thorough preoperative planning and early recognition of troublesome patterns, a variety of techniques can be applied to obtain and maintain a stable reduction throughout the procedure.
PMID: 33156212 [PubMed - as supplied by publisher]

Source: The Journal of the American Academy of Orthopaedic Surgeons - November 11, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research