Abstract
Management of tibia fractures by internal fixation, particularly intramedullary nails, has become the standard for diaphyseal fractures. However, for metaphyseal fractures or those at the metaphyseal-diaphyseal junction, choice of fixation device and technique is controversial. For distal tibia fractures, nailing and plating techniques may be used, the primary goal of each being to achieve acceptable alignment with minimal complications. Different techniques for reduction of these fractures are available and can be applied with either fixation device. Overall outcomes appear to be nearly equivalent, with minor differences in complications. Proximal tibia fractures can be fixed using nailing, which is associated with deformity of the proximal short segment. A newer technique - suprapatellar nailing - may minimize these problems, and use of this method has been increasing in trauma centers. However, most of the data are still largely based on case series.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 665-673 |
| Number of pages | 9 |
| Journal | Journal of the American Academy of Orthopaedic Surgeons |
| Volume | 22 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1 2014 |
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ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Controversies in the intramedullary nailing of proximal and distal tibia fractures. / Tejwani, Nirmal; Polonet, David; Wolinsky, Philip R.
In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 22, No. 10, 01.10.2014, p. 665-673.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Controversies in the intramedullary nailing of proximal and distal tibia fractures
AU - Tejwani, Nirmal
AU - Polonet, David
AU - Wolinsky, Philip R
PY - 2014/10/1
Y1 - 2014/10/1
N2 - Management of tibia fractures by internal fixation, particularly intramedullary nails, has become the standard for diaphyseal fractures. However, for metaphyseal fractures or those at the metaphyseal-diaphyseal junction, choice of fixation device and technique is controversial. For distal tibia fractures, nailing and plating techniques may be used, the primary goal of each being to achieve acceptable alignment with minimal complications. Different techniques for reduction of these fractures are available and can be applied with either fixation device. Overall outcomes appear to be nearly equivalent, with minor differences in complications. Proximal tibia fractures can be fixed using nailing, which is associated with deformity of the proximal short segment. A newer technique - suprapatellar nailing - may minimize these problems, and use of this method has been increasing in trauma centers. However, most of the data are still largely based on case series.
AB - Management of tibia fractures by internal fixation, particularly intramedullary nails, has become the standard for diaphyseal fractures. However, for metaphyseal fractures or those at the metaphyseal-diaphyseal junction, choice of fixation device and technique is controversial. For distal tibia fractures, nailing and plating techniques may be used, the primary goal of each being to achieve acceptable alignment with minimal complications. Different techniques for reduction of these fractures are available and can be applied with either fixation device. Overall outcomes appear to be nearly equivalent, with minor differences in complications. Proximal tibia fractures can be fixed using nailing, which is associated with deformity of the proximal short segment. A newer technique - suprapatellar nailing - may minimize these problems, and use of this method has been increasing in trauma centers. However, most of the data are still largely based on case series.
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UR - http://www.scopus.com/inward/citedby.url?scp=84923693241&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-22-10-665
DO - 10.5435/JAAOS-22-10-665
M3 - Article
C2 - 25281261
AN - SCOPUS:84923693241
VL - 22
SP - 665
EP - 673
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
SN - 1067-151X
IS - 10
ER -