Ender nails for segmental tibial fracture Early weight bearing in 22 cases

Merianos, P.; Papagiannakos, K.; Scretas, E.; Smyrnis, Panagiotis

doi:10.3109/17453678809149367

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…Only 1 other case of segmental fracture was treated with Ender pins, and it resulted in union with good alignment. We were not able to reproduce the good results found by Merianos et al 30 and believe that the use of Ender pins in a segmental fracture should be an exceptional treatment.…”

Section: Discussioncontrasting

confidence: 50%

“…The 6 cases resulted in an overall infection rate of 13.6%, above the average rate found in the literature, which varies from 0% to 7%. 2,3,5,6,12,14,19,30,33,34 . The overall incidence of malunion was 15,9%.…”

Section: Resultsmentioning

confidence: 99%

“…These findings are in accordance with the majority of studies related to tibial diaphyseal fractures 1,4,[19][20][21][22][23][24][25][26][27][28] and show the effect of a high level of Only fractures of types A, B, and C2 of the AO group in which both types of fixation-locked intramedullary nail and Ender pins-are considered efficient, were included in this study. 1,5,13,21,[29][30][31][32] We chose to include segmental tibial diaphyseal fractures (C2) based on the work of Merianos et al, 30 who obtained union in all 22 cases treated with Ender pins, with an average union time of only 16 weeks. In the only study found in the literature that compares the locked intramedullary nail with Ender pins in the treatment of tibial diaphyseal fractures, 13 the authors reported a longer union time in the group treated with Ender pins in Winquist type III and IV fractures, which have great instability.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

Sakaki

Crocci

Zumiotti

2007

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MATERIALS AND METHODS:Forty-four patients with unilateral tibial diaphyseal fractures were treated with intramedullary nails or Ender pins. Twenty patients were treated with an unreamed intramedullary nail with access via the patellar tendon with static locking. Twenty-four patients were treated with Ender pins introduced medially and laterally with respect to the tuberosity of the tibia. The main parameters analyzed were type of reduction, complications, union rate, deformities, joint mobility, pain, gait, effort capacity, presence of neurovascular disorders, and complaints related to the synthesis material. RESULTS: During 1 year of follow-up, the fractures of 90.0% of the patients with intramedullary nails and 95.7% of patients with Ender pins healed within an average of 21.5 weeks and 20.9 weeks, respectively. The significant findings were as follows: patients treated with Ender pins had less mobility of the subtalar joint; patients treated with intramedullary nails were more likely to have pain in the knee; both groups showed shortening of the tibia at the end of 1 year of treatment. CONCLUSIONS:The two methods are similar in the treatment of type A, B, and C2 tibial diaphyseal fractures.

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Section: Discussioncontrasting

confidence: 50%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Study of the Locked Intramedullary Nail and Ender Pins in the Treatment of Tibial Diaphyseal Fractures

Sakaki

Crocci

Zumiotti

2007

Clinics

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“…Melis and coworkers (198 1) reported a slower fracture healing of the distal fracture in 38 segmental tibial fractures treated with a reamed unlocked intramedullary nail, while Merianos et al (1988) reported no difference in union rate in 22 cases treated with Ender nails. We found that the distal fracture united, on average, approximately 3 weeks earlier than the proximal one.…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies of segmental tibial fractures, the distal fracture united more slowly than or at the same time as the proximal sites (Langard and Bo 1976, Melis et al 1981, Merianos et al 1988). Melis and coworkers (198 1) reported a slower fracture healing of the distal fracture in 38 segmental tibial fractures treated with a reamed unlocked intramedullary nail, while Merianos et al (1988) reported no difference in union rate in 22 cases treated with Ender nails.…”

Section: Discussionmentioning

confidence: 99%