A retrospective study of intramedullary tibia nailing system intended for tibia fracture

Authors

  • Pallavi Sharma Department of Clinical Research, Kaulmed Private Limited, Sonipat Haryana, India
  • Arpit Jain Department of Clinical Research, Kaulmed Private Limited, Sonipat Haryana, India
  • Gaurav Luthra Department of Regulatory, Kaulmed Private Limited, Sonipat, Haryana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20222091

Keywords:

Intramedullary tibia nail, VAS, Tibia fracture, ASA class, Complications, AO classification

Abstract

Background: The aim of the study was to investigate the performance of the intramedullary tibia nail in the treatment of tibia fractures, mostly shaft fractures. The objective of this study was to assess the post-operative complication due to the treatment involving tibia nails.

Methods: This was a retrospective study to study the results obtained after tibia nail surgery. A total of 32 patients were selected based on inclusion and exclusion criteria (25 males and 7 females; average age- 37 years). The fracture was classified according to AO classification, the nailing device is intended for 41-A1/A2, 42 and 43-A1/A2/A3 types of fractures. The patients with at least three visits within 180 days were selected for data collection.

Results: The clinical outcomes include pain scale assessment from the baseline/enrolment to the last follow up which shows no pain (93.7%) and mild pain (6.7%) after 180 days. No implant-related problems like implant loosening.

Conclusions: For the treatment of tibia shaft fracture which can either be closed or open, intramedullary tibia nailing devices like KN-2T and KN-5T have been concluded to be the good approach.

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Author Biographies

Pallavi Sharma, Department of Clinical Research, Kaulmed Private Limited, Sonipat Haryana, India

Clinical Research Associate at KAULMED

Arpit Jain, Department of Clinical Research, Kaulmed Private Limited, Sonipat Haryana, India

Clinical Research Engineer at KAULMED

Gaurav Luthra, Department of Regulatory, Kaulmed Private Limited, Sonipat, Haryana, India

Technical Director at KAULMED

References

Brown CM, Rimmer S, Prakash U, McQueen MM. The epidemiology of open long bone fractures. Injury. 1998;29(7):529-34.

Anandasivam NS, Russo GS, Swallow MS, Basques BA, Samuel AM, Ondeck NT, et al. Tibial shaft fracture: A large-scale study defining the injured population and associated injuries. J Clin Orthop Trauma. 2017;8(3):225-31.

Achten J, Parsons NR, McGuinness KR, Petrou S, Lamb SE, Costa ML. UK Fixation of Distal Tibia Fractures (UK FixDT): protocol for a randomised controlled trial of 'locking' plate fixation versus intramedullary nail fixation in the treatment of adult patients with a displaced fracture of the distal tibia. BMJ Open. 2015;5(9):e009162.

Papagelopoulos PJ, Partsinevelos AA, Themistocleous GS, Mavrogenis AF, Korres DS, Soucacos PN. Complications after tibia plateau fracture surgery. Injury. 2006;37(6):475-84.

Coles CP, Gross M. Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature. Can J Surg. 2000;43(4):256-62.

Larsen P, Elsoe R, Hansen SH, Graven-Nielsen T, Laessoe U, Rasmussen S. Incidence and epidemiology of tibial shaft fractures. Injury. 2015;46(4):746-50.

Anandasivam NS, Russo GS, Swallow MS, Basques BA, Samuel AM, Ondeck NT, et al. Tibial shaft fracture: A large-scale study defining the injured population and associated injuries. J Clin Orthop Trauma. 2017;8(3):225-31.

Attal R, Hansen M, Kirjavainen M, Bail H, Hammer TO, Rosenberger R, et al. A multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN). Arch Orthop Trauma Surg. 2012;132(7):975-84.

Meena RC, Meena UK, Gupta GL, Gahlot N, Gaba S. Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial. J Orthop Traumatol. 2015;16(3):203-8.

Rosa N, Marta M, Vaz M, Tavares SMO, Simoes R, Magalhães FD, et al. Intramedullary nailing biomechanics: Evolution and challenges. Proc Inst Mech Eng H. 2019;233(3):295-308.

Bong MR, Kummer FJ, Koval KJ, Egol KA. Intramedullary nailing of the lower extremity: biomechanics and biology. J Am Acad Orthop Surg. 2007;15(2):97-106.

Koval KJ, Clapper MF, Brumback RJ, Ellison PS, Poka A, Bathon GH, et al. Complications of reamed intramedullary nailing of the tibia. J Orthop Trauma. 1991;5(2):184-9.

McCormack HM, Horne DJ, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988;18(4):1007-19.

Huskisson EC. Measurement of pain. Lancet. 1974;2(7889):1127-31.

Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37(4):378-81.

Hackett NJ, Oliveira GS, Jain UK, Kim JY. ASA class is a reliable independent predictor of medical complications and mortality following surgery. Int J Surg. 2015;18:184-90.

Pobłocki K, Domaradzki M, Gawdzik J, Prochacki P, Rajewski R. Complications after intramedullary nailing of the tibia. Chir Narzadow Ruchu Ortop Pol. 2011;76(5):274-7.

Hendrickx LAM, Virgin J, Bekerom MPJ, Doornberg JN, Kerkhoffs GMMJ, Jaarsma RL. Complications and subsequent surgery after intra-medullary nailing for tibial shaft fractures: Review of 8110 patients. Injury. 2020;51(7):1647-54.

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Published

2022-08-25

How to Cite

Sharma, P., Jain, A., & Luthra, G. (2022). A retrospective study of intramedullary tibia nailing system intended for tibia fracture. International Journal of Research in Orthopaedics, 8(5), 554–558. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20222091

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Original Research Articles