Long-Term Follow-up of Tibial Shaft Fractures Treated With Intramedullary Nailing

Abstract

At a median 14 years after tibial nailing of isolated tibial fractures, patients' function is comparable to population norms, but objective and subjective evaluation shows persistent sequelae which are not insignificant. This study is the first to describe the long-term functional outcomes after tibial shaft fractures treated with intramedullary nailing nails. It may allow surgeons to better inform patients on the expected long-term function after intramedullary nailing of a tibia fracture. It may also prove useful when comparing intramedullary nailing nailing to other treatment techniques.

Anterior Knee Pain After Tibial Intra-Medullary Nailing.

“…Many factors like damage to articular surface and meniscus, injury to the infrapatellar branch of the saphenous nerve, infrapatellar fat pad, nail prominence, thigh muscle weakness, and small plateau width contribute to the pain 4,11 . Incidence of anterior knee pain has been noted between 31% to 86% in various studies [13][14][15][16][17][18][19][20] . Fourty-two patients (41%) developed anterior knee pain in this study which is comparable to other similar studies.…”

Management of Open Fractures of Tibial Diaphysis by External Fixation Followed by Locking compression Plate Osteosynthesis in hemodynamically Unstable Patients: A prospective study

“…4 In case of fracture shaft of tibia, if the patient is stable the fracture can be managed operatively by intramedullary interlocking nailing at the initial setting as the definitive treatment,a form of early total care. 5 Alternatively, temporary damage control stabilization by means of an external fixator can be done, followed by a more definitive procedure like secondary nailing or Locking compression plate fixation at a later stage when the patient becomes fit for a prolonged surgery. 6 External fixation has the advantage of being a very quick procedure which can be performed as damage control orthopaedics, but can lead to pin tract infection, which has the potential to spread along entire medullary canal if an intramedullary implant is used secondarily.…”

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

“…The only incentive to use these systems is academic. Many individual institutions maintain a database of their trauma cases [13,18]; these are mainly used to find cases to enter into retrospective and followup studies. Although some of these databases are large, no studies have emerged considering fracture patterns using thousands of comparable fracture cases.…”