Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia nonunions

Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia... International Orthopaedics (SICOT) (2017) 41:1925–1934 DOI 10.1007/s00264-017-3432-3 ORIGINAL PAPER Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia nonunions Nabil A. Ebraheim & Brad Evans & Xiaochen Liu & Mina Tanios & Marshall Gillette & Jiayong Liu Received: 12 August 2016 /Accepted: 14 February 2017 /Published online: 28 February 2017 SICOT aisbl 2017 Abstract same method (51 vs. 18 weeks, p = 0.030). Deep infections Purpose The purpose of this study was to examine time to were also associated with longer union times (81 vs. 47 weeks, union of extra-articular distal tibia nonunions based on frac- p =0.040). ture type and fixation methods: intramedullary nail (IMN), Conclusions In this nonunion population, comminuted frac- plate osteosynthesis (PO), and external fixation (EF). ture types needed more time and revisions to reach union. Methods This retrospective chart review included all patients Time to union was only clinically shorter when revision fixa- who presented at a Level I trauma center with AO/OTA 43A tion was not performed, but IMN and PO were both successful & distal third 42A-C fracture nonunions between 2008 and fixation options with significantly shorter times to union than 2014. Fixation methods were recorded and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Orthopaedics Springer Journals

Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia nonunions

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by SICOT aisbl
Subject
Medicine & Public Health; Orthopedics
ISSN
0341-2695
eISSN
1432-5195
D.O.I.
10.1007/s00264-017-3432-3
Publisher site
See Article on Publisher Site

Abstract

International Orthopaedics (SICOT) (2017) 41:1925–1934 DOI 10.1007/s00264-017-3432-3 ORIGINAL PAPER Comparison of intramedullary nail, plate, and external fixation in the treatment of distal tibia nonunions Nabil A. Ebraheim & Brad Evans & Xiaochen Liu & Mina Tanios & Marshall Gillette & Jiayong Liu Received: 12 August 2016 /Accepted: 14 February 2017 /Published online: 28 February 2017 SICOT aisbl 2017 Abstract same method (51 vs. 18 weeks, p = 0.030). Deep infections Purpose The purpose of this study was to examine time to were also associated with longer union times (81 vs. 47 weeks, union of extra-articular distal tibia nonunions based on frac- p =0.040). ture type and fixation methods: intramedullary nail (IMN), Conclusions In this nonunion population, comminuted frac- plate osteosynthesis (PO), and external fixation (EF). ture types needed more time and revisions to reach union. Methods This retrospective chart review included all patients Time to union was only clinically shorter when revision fixa- who presented at a Level I trauma center with AO/OTA 43A tion was not performed, but IMN and PO were both successful & distal third 42A-C fracture nonunions between 2008 and fixation options with significantly shorter times to union than 2014. Fixation methods were recorded and

Journal

International OrthopaedicsSpringer Journals

Published: Feb 28, 2017

References

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