Dynamic compression nail: A preliminary report

Gupta, Ajay Kumar

doi:10.1186/1471-2474-2-6

Cited by 9 publications

(4 citation statements)

References 10 publications

(14 reference statements)

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“…Interlocked compression intramedullary nailing shortens the duration of fracture union in patients with tibial shaft fractures. [9,10] In our study, the duration of the union was found to be shorter in Groups B and C, in which compression was applied, compared to Group A which was the non-compression group. There was no statistically significant difference between Group B and Group C in regarding the union time.…”

Section: Discussionmentioning

confidence: 43%

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Duygun

Aldemir

2018

Eklem Hastalik Cerrahisi

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Section: Discussionmentioning

confidence: 43%

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Duygun

Aldemir

2018

Eklem Hastalik Cerrahisi

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“…In the literature, Gupta presented a study on active compression through intramedullary compression nailing, which is applied for treating nonunions. He concluded that this may prove greatly advantageous to the fracture union through increased stability and the osteogenic potential 27…”

Section: Discussionmentioning

confidence: 99%

“…He concluded that this may prove greatly advantageous to the fracture union through increased stability and the osteogenic potential. 27 …”

Section: Discussionmentioning

confidence: 99%

Outcome of Locked Compressive Nailing in Aseptic Tibial Diaphyseal Nonunions without Bone Defect

Aldemir

Duygun

2019

IJOO

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Background:Treatment of tibial diaphyseal nonunions are rather difficult. Plate-screw, intramedullary nailing and external fixation are the methods used for treatment. The aim of this study is to evaluate the treatment results of aseptic diaphyseal nonunions following tibia fractures by intramedullary compressive tibia nailing (IMCN) with or without bone graft.Materials and Methods:Twenty eight patients who had aseptic tibial nonunion without bone defects operated between 2005 and 2015 were included in the study. The mean age of our patients was 36.4 years (range 20–56 years). There were 22 males and 6 females. Fifteen of the patients exhibited hypertrophic nonunion and thirteen exhibited atrophic nonunion. The average time between fracture occurrence and presentation to our department was 1.6 years (range 1–20 years). All patients underwent fibular osteotomy by removal of a 2 cm bone block from the middle one-third of the fibulas. In all cases, IMCN was applied following the reaming procedure, then maximum bone contacts were achieved manually between proximal and distal bone fragments afterward, and dynamic compressive fixation with 1 mm of compression was performed by a single rotation of the compression screw at the top of the nail. Direct X-ray images were assessed according to the Rust criteria, and functional outcomes were assessed according to the Johner–Wrush criteria. Finite-element analysis was performed for 1 mm of compression. For statistical analysis, Fisher's exact test, Pearson's Chi-square test, and Mann–Whitney U-test were used.Results:Union was achieved in all patients. Radiological union was obtained at an average of 15.5 ± 1.86 weeks. Functional results were found to be good or excellent in 25 (89.2%) patients and average or poor in 3 (10.8%) patients. One patient developed skin necrosis at the wound site, which was treated with rotational flap and skin graft. None of the patients developed implant failure, thromboembolism, deep-vein thrombosis, or infection.Conclusions:The use of compressive intramedullary nailing with or without bone graft is an effective method for the treatment of tibial nonunion.

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“…Unfortunately, there is currently no stabilization method that can be applied to all types of long bone fractures but every procedure has its pros and cons (DIAS, 2006). However, the Interlocking Nail technique described Almeida et al by Modney is a stabilization method that combines the biomechanical advantages of intramedullary rods to the stiffness of plates and screws and their ability to block the forces on the fracture site (GUPTA, 2001). Forces acting on the fracture site are minimized by fixing the locked rod to the bones with screws.…”

Section: Introductionmentioning

confidence: 99%

Mechanical flexural ex vivo study of osteotomized swine femurs stabilized with two types of polyamide 12 rods

et al. 2017

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Mechanical flexural ex vivo study of osteotomized swine femurs stabilized with two types of polyamide 12 rods.Ciência Rural, v.47, n.8, 2017. INTRODUCTIONLong bone fracture is one of the main orthopaedic conditions in Veterinary Medicine, with femur fractures representing 20 to 25% of all long bone fractures in cats and dogs. Unfortunately, there is currently no stabilization method that can be applied to all types of long bone fractures but every procedure has its pros and cons (DIAS, 2006 CLINIC AND SURGERY

show abstract

Dynamic compression nail: A preliminary report

Cited by 9 publications

References 10 publications

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Outcome of Locked Compressive Nailing in Aseptic Tibial Diaphyseal Nonunions without Bone Defect

Mechanical flexural ex vivo study of osteotomized swine femurs stabilized with two types of polyamide 12 rods

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