Findings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing

Say, Ferhat; Bülbül, Murat

doi:10.1007/s00402-014-2052-2

Cited by 34 publications

(52 citation statements)

References 30 publications

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“…Rotational malalignment is reported as a common complication following intramedullary nailing [29]. The present study evaluated the development in functional rotation during walking at both 6 and 12 months and showed an asymmetry between the injured and non-injured leg of respectively 44.6% and 15.9%, with an increased external rotation of the injured leg.…”

Section: Discussionmentioning

confidence: 62%

Asymmetry in gait pattern following tibial shaft fractures – a prospective one-year follow-up study of 49 patients

et al. 2017

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Section: Discussionmentioning

confidence: 62%

Asymmetry in gait pattern following tibial shaft fractures – a prospective one-year follow-up study of 49 patients

et al. 2017

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“…This procedure is non-invasive and allows one to measure different areas of the body simultaneously [6]. CT has also been used to determine fracture stability [27] and rotational malalignments [28,29]. and seems to be superior to conventional radiographs for non-union evaluations, as CT is unaffected by abundant calluses or the presence of a cast [3].…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography in Limb Salvage and Deformity Correction—3D Assessment, Indications, Radiation Exposure, and Safety Considerations

Žák

Tiefenboeck

Wozasek

2021

JCM

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Computed tomography (CT) is an essential tool in orthopedic surgery but is known to be a method with that entails radiation exposure. CT increases the risk of developing fatal cancer, which should not be underestimated. However, patients with bone defects and/or deformities must frequently undergo numerous investigations during their treatment. CT is used for surgical planning, evaluating callus maturation, alignment measurement, length measurement, torsion measurement, and angiography. This study explores the indications in CT scans for limb lengthening and deformity correction and estimates the effective radiation dose. These results should help avoid unnecessary radiation exposure by narrowing the examination field and by providing explicit scanning indications. For this study, 19 posttraumatic patients were included after the bone reconstruction of 21 lower limbs. All patients underwent CT examinations during or after treatment with an external ring fixator. The mean effective dose was 3.27 mSv, with a mean cancer risk of 1:117 014. The effective dose depended on the location and indication of measurement, with a mean dose of 0.04 mSv at the ankle up to 6.8 mSv (or higher) for vascular depictions. CT evaluation, with or without 3D reconstruction, is a crucial tool in complex bone reconstruction and deformity treatments. Therefore, strict indications are necessary to reduce radiation exposure—especially in young patients—without compromising the management of their patients.

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“…Among clinical and radiographic methods, a CT scan is the most accurate one for evaluating the distal rotation of the tibia [20]; however, it has many disadvantages, including patient exposure to radiation, its availability and cost.…”

Section: Discussionmentioning

confidence: 99%

“…Among clinical and radiographic methods, CT scan is the most accurate technique for evaluating the distal rotation of the tibia [20]. However, CT scan is not recommended routinely because of the high dose of radiation associated with it and its less availability [17].…”

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confidence: 99%

A New Radiographic Method for Estimating Tibial Malrotation

Yazdi

Ghaderi

Gomrokchi

et al. 2020

J. Res. Orthop. Sci.

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Background: Diaphyseal tibial fractures are the most frequent bone fractures in the body and are usually treated with intramedullary nailing method. However, this approach is responsible for 41% of the rotational deviation. Objectives: This study aimed to provide a radiographic evaluation method to determine tibial malrotation in closed fixation of tibia bone fractures during or after the operation. Methods: This study was conducted in a university hospital from May 2015 to March 2016. All patients referring to the hospital with the complaints of minor trauma around the ankle and knee requiring radiographic evaluation of both joints were enrolled in the study. The inclusion criteria included being 20 and 50 years old; having normal axial, sagittal, and coronal lower limb alignment; lacking previous lower limb injury (such as fractures of the tibia or fibula), ankle or knee sprain; not having previous lower limb surgery, metabolic or congenital bone diseases, or malignancy. In all cases, a standard Anteroposterior (AP) radiograph of the knee was taken, and then, without changing the limb position or image setting, an AP radiograph of the ankle was obtained. The overlap between the distal tibia and fibula was measured in the PACS program environment. Results: Fifty cases were included in this study. The Mean±SD ages of males and females were 29.08±2.49 years and 31.46±2.04 years, respectively. The range of distal tibia-fibula overlap one centimeter above the tibiotalar joint line was 7.81 to 9.09 mm (confidence interval of 95%), and its percentage to the fibula shaft width at the same level was 49.43% to 54.35%. Conclusion: According to the results, distal tibia-fibula overlap when the knee is in the true AP position, regardless of the side and gender, is 7.81 to 9.09 mm or 49.43% to 54.35%.

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Findings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing

Cited by 34 publications

References 30 publications

Asymmetry in gait pattern following tibial shaft fractures – a prospective one-year follow-up study of 49 patients

Asymmetry in gait pattern following tibial shaft fractures – a prospective one-year follow-up study of 49 patients

Computed Tomography in Limb Salvage and Deformity Correction—3D Assessment, Indications, Radiation Exposure, and Safety Considerations

A New Radiographic Method for Estimating Tibial Malrotation

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