Tibial shaft fractures treated with intramedullary nailing and reduction device assistance

Lu, Yao; Bo, Wang; Ren, Cheng; Sun, Liang; Li, Ming; Li, Jie; He, Changjun; Xue, Hao; Zhong, Li; Kun, Zhang; Ma, Teng; Wang, Qian

doi:10.1007/s00264-020-04718-3

Cited by 3 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The fracture healing time of RBI therapy group were 2.5, 3.0 months. Besides, the fracture healing time of tibia shaft fracture was 4.2 ± 1.025 months as described by Lu Y [ 6 ]. Alpha was set as 0.01 (two-sided) and power was set as 0.95.…”

Section: Methodsmentioning

confidence: 99%

Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT)

Wang

Liu

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background This study was to evaluate the effects of repetitive brief ischemia (RBI) on bone healing in patients with tibial shaft fractures. Methods In this prospective clinical trial, patients with tibia shaft fractures were enrolled between January 2016 and January 2021. The intermittent pneumatic compression (IPC) device was used to make RBI on the affected limb after surgical operation 24 h. The inflation pressure was the systolic pressure of patients + 50 mmHg. Patients were received 30 s inflation/30 s deflation 30 times twice a day for 4 weeks. The primary outcome was bone healing time and the secondary outcomes were the rates of delayed union and nonunion, the rates of venous thrombosis of lower limbs, Johner-Wruhs scores, Lysholm knee score, VAS scores, postoperative complications, serum BMP-2, osteocalcin (OC) and bone specific alkaline phosphatase (BS-ALP). Results A total of 32 patients were enrolled finally and all were completed with a 12 months follow-up. All the fractures were healed and the bone healing time was 3(1) months in RBI group. However, the bone healing time of control group was 4(1) and there was statistical difference between the two groups (p < 0.01). No patient with fracture delayed union, nonunion and venous thrombosis of lower limbs in RBI group. 2 patients were delayed union in the control group. In RBI group, the Lysholm knee score was 83(6) at 6 months and 100(8) at 12 months. In the control group, the score was 78(4) and 90.5(17), there was statistical difference between the two groups (p < 0.01, p = 0.014, respectively). VAS scores were postoperative 2 weeks 6(1) in RBI group and 7(0.5) in the control group, there was statistical difference between the two groups (p = 0.016). There were 2 patients with intramuscular venous thrombosis of lower extremity in control group. Besides, RBI treatment increased the serum BMP-2, OC and BS-ALP at postoperative 2 weeks and 1 month. Conclusions RBI is a new method to accelerate bone healing in tibia shaft fracture patients and is a simple and noninvasive method. Trial registration Chinese clinical trial registry, ChiCTR-INR-17014208. Registered 28 December 2017—Retrospectively registered.

show abstract

Section: Methodsmentioning

confidence: 99%

Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT)

Wang

Liu

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

Multiplanar fracture reducer versus manual traction in the treatment of tibial shaft fractures with intramedullary nails

Zhao

Zhang

Wang

et al. 2021

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Application of the multiplanar fracture redactor in the treatment of tibial shaft fractures with intramedullary nails

Zhao

Zhang

et al. 2021

Sci Rep

View full text Add to dashboard Cite

This prospective study aimed to introduce the application of the multiplanar fracture redactor (MFR) in the treatment of tibial shaft fractures with intramedullary nails (IMNs). From February to June 2018, a total of 18 patients with tibial shaft fractures were recruited. MFR was used to help achieve the reduction of tibial shaft fractures with IMN in all patients. The demographic and fracture characteristics, surgical data, postoperative complications and prognostic indicators of 16 patients were recorded. All operations were performed under closed reduction, excellent radiological and functional outcomes were observed. The average duration of surgery, intraoperative blood loss, intraoperative fluoroscopy times, number of intraoperative assistants, and duration of postoperative hospital stay were 91.2 ± 26.1 min, 95.0 ± 58.3 ml, 19.2 ± 2.3 times, 1 (1–2), and 7.8 ± 2.6 days, respectively. The mean Lysholm Knee Function Score (LKFS), American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores at one year after surgery were 96.8 ± 2.1, 94.8 ± 2.9, and 1 (0–3), respectively. Wound infection, non-union, malunion or complications associated with MFR were not observed in this study. Thus, MFR was a safe and neater method to achieve and maintain the reduction of tibial shaft fractures with IMN.

show abstract

Tibial shaft fractures treated with intramedullary nailing and reduction device assistance

Cited by 3 publications

References 17 publications

Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT)

Repetitive brief ischemia accelerates tibial shaft fracture healing: a 5-years prospective preliminary clinical trial (PCT)

Multiplanar fracture reducer versus manual traction in the treatment of tibial shaft fractures with intramedullary nails

Application of the multiplanar fracture redactor in the treatment of tibial shaft fractures with intramedullary nails

Contact Info

Product

Resources

About