QI Shanhong, WU Yanfeng, XU Huihao, HE Wenhao, XIA Chunhuan. Application of new intramedullary locking nail for fixation of distal tibial fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 68-70. DOI: 10.7619/jcmp.202016019
Citation: QI Shanhong, WU Yanfeng, XU Huihao, HE Wenhao, XIA Chunhuan. Application of new intramedullary locking nail for fixation of distal tibial fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 68-70. DOI: 10.7619/jcmp.202016019

Application of new intramedullary locking nail for fixation of distal tibial fractures

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  • Received Date: May 15, 2020
  • Available Online: September 14, 2020
  • Objective To observe the effect of new intramedullary interlocking nail for fixation of distal tibial fractures. Methods A retrospective analysis of 62 patients with fractures of the distal tibial bone with a distance of below 4 cm from the site of distal tibia fracture to the articular surface was performed. All the patients were given new intramedullary locking nail and distal interlocking nail for the treatment that 1 to 2 locking nails with diameter of 5.1 mm were precisely placed at the distal tibia fracture sites. Postoperative distal tibia fracture healing and complications conditions were observed during the follow-up. Results The 54 patients were followed up for 1 year to 2 years, with an average of(13.2±2.1)months. All patients with fractures were healed, healing time was 4 to 10 months, with an average of(5.2±0.4)months. There were no deaths after the operation, and no complications such as osteomyelitis, fracture deformity healing, intramedullary nail rupture, and loose locking nails occurred. Superficial wound infection occurred in 2 cases and was cured by symptomatic treatment. No fracture occurred in 34 patients after removal of the internal fixation. Conclusions New intramedullary locking nail in the treatment of distal tibial fractures has definite efficacy.
  • 李国胜, 边朝辉, 刘明礼. 钢板与髓内钉内固定治疗胫骨远端骨折的疗效比较[J]. 临床骨科杂志, 2020, 23(1): 121-123.
    TORINO D, MEHTA S. Fibular fixation in distal tibia fractures: reduction aid or nonunion generator[J]. J Orthop Trauma, 2016, 30(Suppl 4): S22-S25.
    FERNANDEZ M A, NANCHAHAL J, COSTA M L. Open tibial fractures[J]. Orthop Trauma, 2017, 31(2): 125-132.
    YUAN H, WANG R, ZHENG J, et al. Comparison between intramedullary nailing and minimally invasive percutaneous plate osteosynthesis in treatment of humeral shaft fractures[J]. J Coll Physicians Surg Pak, 2019, 29(10): 942-945.
    戚珊红, 徐辉豪, 施百寿, 等. 锁孔和锁钉杆过渡配合交锁髓内钉内固定骨折断端的生物稳定性[J]. 中国组织工程研究, 2013, 17(22): 4137-4143.
    张小栋, 杨宝辉, 张婷, 等. 交锁髓内钉与经皮锁定钢板治疗胫骨骨折的临床对照研究[J]. 现代生物医学进展, 2017, 17(18): 3524-3527.
    VIDOVICD, MATEJCICA, IVICA M, et al. Minimally-invasive plate osteosynthesis in distal tibial fractures: Results and complications[J]. Injury, 2015, 46: S96-S99.
    陈浩, 贺增良, 方加虎. MIPPO术联合LCP内固定治疗胫骨远端骨折的疗效分析[J]. 中国现代手术学杂志, 2018, 22(6): 445-448.
    郭伟, 杜静德. 解剖型胫骨髓内钉与普通交锁髓内钉治疗胫骨骨不连的疗效比较[J]. 生物骨科材料与临床研究, 2019, 2014, 11(5): 38

    -40.
    高俊, 彭伟君, 张瑞彬. 交锁髓内钉与微创经皮钢板内固定技术治疗胫骨远端关节外骨折的临床探讨[J]. 中国医药科学, 2019, 9(4): 227-230.
    MALEK S, PHILLIPS R, MOHSEN A, et al. Computer assisted orthopaedic surgical system for insertion of distal locking screws in intra-medullary nails: a valid and reliable navigation system[J]. Int J Med Robot, 2005, 1(4): 34-44.
    HUANG Z L, YANG H L, XU J K, et al. Rotary self-locking intramedullary nail for long tubular bone fractures[J]. Chin Med J, 2013, 126(20): 3874-3878.
    MAQUNGO S, HORN A, BERNSTEIN B, et al. Distal interlocking screw placement in the femur: free-hand versus electromagnetic assisted technique(sureshot)[J]. J Orthop Trauma, 2014, 28(12): e281-e283.
    YOON R S, LIPORACE F A. Intramedullary nail and plate combination fixation for complex distal tibia fractures: when and how[J]. J Orthop Trauma, 2016, 30(Suppl 4): S17-S21.
    马智林, 冯文方, 段晓伟, 等. 全螺纹无头加压空心螺钉修复胫骨远端三平面骨折的临床效果[J]. 生物骨科材料与临床研究, 2020, 17(1): 52-55.
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