European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
Intramedullary nail fixation of operative tibia fractures distal to a total knee arthroplasty.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Metcalf Kathryn, Sajid Mir Ibrahim, McCaskey Meghan, Johnson Brian, Beltran Michael, Sinkler Margaret, Ochenjele George, Natoli Roman, Szatkowski Jan, Stanley Mackinzie, Little Milton, Mir Hassan R
Аннотация
OBJECTIVES: This study aims to report the technique and outcomes of operative tibia fractures distal to a total knee arthroplasty (TKA) treated with intramedullary nail fixation (IMN).
METHODS: Design Retrospective review. Setting 5 Urban Level 1 trauma centers. Patient Selection Criteria Patients with tibia fractures distal to TKA treated with IMN between 2012-2022 and had a minimum of six-months of follow-up or until clinical and radiographic union. Outcome Measures and Comparisons Outcome measures included union, infection, reoperation, and prosthetic complications.
RESULTS: 20 patients with a mean follow-up of 12.7 months (range: 3-24) were included in the study. The mean age was 72.4 ± 11.6 years, and majority were females (13/20, 65%). 35% (7/20) had a high-energy fracture. 15 patients sustained midshaft tibia fractures and 5 had a distal-third tibia fracture. Patients were treated using either a suprapatellar, parapatellar, or infrapatellar approach with nail diameter ranging between 8.5 and 10 mm. 16 (80%) patients were post-operatively allowed to weight-bear as tolerated immediately. There was no reported incidence of prosthetic complications or venous thromboembolism. 3 patients had an unplanned re-operation (2 for revision fixation, 1 for debridement). At final follow-up, 1 patient had a malunion, and 2 patients had asymptomatic radiographic delayed union.
CONCLUSIONS: Intramedullary nailing of tibia fractures distal to TKA can be performed successfully with low complications with the use of careful surgical technique.
METHODS: Design Retrospective review. Setting 5 Urban Level 1 trauma centers. Patient Selection Criteria Patients with tibia fractures distal to TKA treated with IMN between 2012-2022 and had a minimum of six-months of follow-up or until clinical and radiographic union. Outcome Measures and Comparisons Outcome measures included union, infection, reoperation, and prosthetic complications.
RESULTS: 20 patients with a mean follow-up of 12.7 months (range: 3-24) were included in the study. The mean age was 72.4 ± 11.6 years, and majority were females (13/20, 65%). 35% (7/20) had a high-energy fracture. 15 patients sustained midshaft tibia fractures and 5 had a distal-third tibia fracture. Patients were treated using either a suprapatellar, parapatellar, or infrapatellar approach with nail diameter ranging between 8.5 and 10 mm. 16 (80%) patients were post-operatively allowed to weight-bear as tolerated immediately. There was no reported incidence of prosthetic complications or venous thromboembolism. 3 patients had an unplanned re-operation (2 for revision fixation, 1 for debridement). At final follow-up, 1 patient had a malunion, and 2 patients had asymptomatic radiographic delayed union.
CONCLUSIONS: Intramedullary nailing of tibia fractures distal to TKA can be performed successfully with low complications with the use of careful surgical technique.