Retrograde tibial nailing of far distal tibia fractures: a biomechanical evaluation of double- versus triple-distal interlocking.
Biomechanical testing
Distal Tibia Nail®
Double locking
Far distal tibia fracture
Retrograde nailing
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
19
07
2021
accepted:
14
11
2021
pubmed:
4
12
2021
medline:
12
10
2022
entrez:
3
12
2021
Statut:
ppublish
Résumé
Retrograde tibial nailing using the Distal Tibia Nail (DTN) is a novel surgical option in the treatment of distal tibial fracture. Its unique retrograde insertion increases the range of surgical options in far distal fractures of the tibia beyond the use of plating. The aim of this study was to assess the feasibility of the DTN for far distal tibia fractures where only double rather than triple-distal locking is possible due to fracture localisation and morphology. Six Sawbones The removal of one distal screw resulted in a 60-70% preservation of compressive stiffness, and 90% preservation of torsional stiffness for double locking compared to triple locking. Interfragmentary movement remained minimal for both compressive and torsional loading. The DTN with a distal double locking can, therefore, be considered for far distal tibia fractures where nailing would be preferred over plating.
Identifiants
pubmed: 34859267
doi: 10.1007/s00068-021-01843-5
pii: 10.1007/s00068-021-01843-5
pmc: PMC9532294
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3693-3700Informations de copyright
© 2021. The Author(s).
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