Marknagelung distaler Unterschenkelfrakturen am Beispiel des ExpertTM Tibianagels View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12

AUTHORS

R. El Attal, M. Hansen, R. Rosenberger, V. Smekal, P.M. Rommens, M. Blauth

ABSTRACT

ObjectiveRestoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for functional aftercare and to maintain joint mobility. Good bony healing in closed and open fractures.IndicationsClosed and open fractures of the tibia and complete lower leg fractures distal to the isthmus (AO 42), extraarticular fractures of the distal tibia (AO 43 A1/A2/A3), segmental fractures of the tibia with a fracture in the distal tibia, and certain intraarticular fractures of the distal tibia without impression of the joint line with the use of additional implants (AO 43 C1)ContraindicationsPatient in reduced general condition (e.g., bed ridden), flexion of the knee of less than 90°, patients with knee arthroplasty of the affected leg, infection in the area of the nail’s insertion, infection of the tibial cavity, complex articular fractures of the proximal or distal tibia with joint depression.Surgical techniqueClosed reduction of the fracture preferably on a fracture table or using a distractor or an external fixation frame. If necessary, use pointed reduction clamps or sterile drapery. In some cases, additional implants like percutaneous small fragment screws, poller screws or k-wires are helpful. Open reduction is rarely necessary and must be avoided. Opening of the proximal tibia in line with the medullary canal. Canulated insertion of the ExpertTM tibia nail (ETN; Synthes GmbH, Oberdorf, Switzerland) with reaming of the medullary canal. Control of axis, length, and rotation. Distal interlocking with the radiolucent drill and proximal interlocking with the targeting device.Postoperative managementImmediate mobilization of ankle and knee joint. Mobilization with 20 kg weight-bearing with crutches. X-ray control 6 weeks postoperatively and increased weight-bearing depending on the fracture status. In cases with simple fractures, good bony contact, or transverse fracture pattern, full weight-bearing at the end of week 6 is targeted.ResultsBetween July 2004 and May 2005, 180 patients were included in a multicenter study. The follow-up rate was 81% after 1 year. Of these, 91 fractures (50.6%) were located in the distal third of the tibia. In this segment, the rate of delayed union was 10.6%. Malalignment of > 5° was observed in 5.4%. A secondary malalignment after initial good reduction was detected in only 1.1% of all cases. The implant-specific risk for screw breakage was 3.2%. One patient sustained a deep infection. If additional fibula plating was performed an 8-fold higher risk for delayed bone healing was observed (95%CI: 2.9–21.2, p< 0.001). If the fracture of the fibula was at the same height as on the tibia, the risk for delayed healing was even 14-fold (95%CI: 3.4–62.5, p< 0.001). Biomechanically plating of the fibula does not increase stability in suprasyndesmal distal tibia-fibular fractures treated with an intramedullary nail. Using the ETN with its optimized locking options, fibula plating is not recommended, thus, avoiding soft tissue problems and potentially delayed bone healing. More... »

PAGES

397-410

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00064-011-0071-5

DOI

http://dx.doi.org/10.1007/s00064-011-0071-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028962593

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22159844


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged, 80 and over", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ankle Injuries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Bone Nails", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Bone Plates", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Fracture Fixation, Intramedullary", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Radiography", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Tibial Fractures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich", 
          "id": "http://www.grid.ac/institutes/grid.5361.1", 
          "name": [
            "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich"
          ], 
          "type": "Organization"
        }, 
        "familyName": "El Attal", 
        "givenName": "R.", 
        "id": "sg:person.01216176531.55", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01216176531.55"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum Worms, Worms, Deutschland", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum Worms, Worms, Deutschland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hansen", 
        "givenName": "M.", 
        "id": "sg:person.01336560254.19", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01336560254.19"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich", 
          "id": "http://www.grid.ac/institutes/grid.5361.1", 
          "name": [
            "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Rosenberger", 
        "givenName": "R.", 
        "id": "sg:person.0626406761.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626406761.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich", 
          "id": "http://www.grid.ac/institutes/grid.5361.1", 
          "name": [
            "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Smekal", 
        "givenName": "V.", 
        "id": "sg:person.0763573777.20", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0763573777.20"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Klinik f\u00fcr Unfallchirurgie, Johannes Gutenberg-Universit\u00e4t, Mainz, Deutschland", 
          "id": "http://www.grid.ac/institutes/grid.5802.f", 
          "name": [
            "Klinik f\u00fcr Unfallchirurgie, Johannes Gutenberg-Universit\u00e4t, Mainz, Deutschland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Rommens", 
        "givenName": "P.M.", 
        "id": "sg:person.01266436472.61", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01266436472.61"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich", 
          "id": "http://www.grid.ac/institutes/grid.5361.1", 
          "name": [
            "Universit\u00e4tsklinik f\u00fcr Unfallchirurgie und Sporttraumatologie, Medizinische Universit\u00e4t Innsbruck, Anichstr. 35, 6020, Innsbruck, \u00d6sterreich"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Blauth", 
        "givenName": "M.", 
        "id": "sg:person.01234040540.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01234040540.27"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s001130170078", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019444436", 
          "https://doi.org/10.1007/s001130170078"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00064-009-2010-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037518985", 
          "https://doi.org/10.1007/s00064-009-2010-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s113-002-8167-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021183960", 
          "https://doi.org/10.1007/s113-002-8167-4"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2011-12", 
    "datePublishedReg": "2011-12-01", 
    "description": "ObjectiveRestoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for functional aftercare and to maintain joint mobility. Good bony healing in closed and open fractures.IndicationsClosed and open fractures of the tibia and complete lower leg fractures distal to the isthmus (AO 42), extraarticular fractures of the distal tibia (AO 43 A1/A2/A3), segmental fractures of the tibia with a fracture in the distal tibia, and certain intraarticular fractures of the distal tibia without impression of the joint line with the use of additional implants (AO 43 C1)ContraindicationsPatient in reduced general condition (e.g., bed ridden), flexion of the knee of less than 90\u00b0, patients with knee arthroplasty of the affected leg, infection in the area of the nail\u2019s insertion, infection of the tibial cavity, complex articular fractures of the proximal or distal tibia with joint depression.Surgical techniqueClosed reduction of the fracture preferably on a fracture table or using a distractor or an external fixation frame. If necessary, use pointed reduction clamps or sterile drapery. In some cases, additional implants like percutaneous small fragment screws, poller screws or k-wires are helpful. Open reduction is rarely necessary and must be avoided. Opening of the proximal tibia in line with the medullary canal. Canulated insertion of the ExpertTM tibia nail (ETN; Synthes GmbH, Oberdorf, Switzerland) with reaming of the medullary canal. Control of axis, length, and rotation. Distal interlocking with the radiolucent drill and proximal interlocking with the targeting device.Postoperative managementImmediate mobilization of ankle and knee joint. Mobilization with 20\u00a0kg weight-bearing with crutches. X-ray control 6 weeks postoperatively and increased weight-bearing depending on the fracture status. In cases with simple fractures, good bony contact, or transverse fracture pattern, full weight-bearing at the end of week 6 is targeted.ResultsBetween July 2004 and May 2005, 180 patients were included in a multicenter study. The follow-up rate was 81% after 1\u00a0year. Of these, 91 fractures (50.6%) were located in the distal third of the tibia. In this segment, the rate of delayed union was 10.6%. Malalignment of >\u20095\u00b0 was observed in 5.4%. A secondary malalignment after initial good reduction was detected in only 1.1% of all cases. The implant-specific risk for screw breakage was 3.2%. One patient sustained a deep infection. If additional fibula plating was performed an 8-fold higher risk for delayed bone healing was observed (95%CI: 2.9\u201321.2, p<\u20090.001). If the fracture of the fibula was at the same height as on the tibia, the risk for delayed healing was even 14-fold (95%CI: 3.4\u201362.5, p<\u20090.001). Biomechanically plating of the fibula does not increase stability in suprasyndesmal distal tibia-fibular fractures treated with an intramedullary nail. Using the ETN with its optimized locking options, fibula plating is not recommended, thus, avoiding soft tissue problems and potentially delayed bone healing.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00064-011-0071-5", 
    "inLanguage": "de", 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1115235", 
        "issn": [
          "0934-6694", 
          "1439-0981"
        ], 
        "name": "Operative Orthop\u00e4die und Traumatologie", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "5", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "23"
      }
    ], 
    "keywords": [
      "distal tibia", 
      "medullary canal", 
      "additional implants", 
      "open fractures", 
      "bone healing", 
      "pointed reduction clamp", 
      "controls 6 weeks", 
      "lower leg fractures", 
      "small fragment screws", 
      "complex articular fractures", 
      "soft tissue problems", 
      "transverse fracture pattern", 
      "good bony healing", 
      "sufficient primary stability", 
      "external fixation frame", 
      "functional aftercare", 
      "secondary malalignment", 
      "extraarticular fractures", 
      "deep infection", 
      "segmental fractures", 
      "intraarticular fractures", 
      "open reduction", 
      "leg fractures", 
      "Poller screws", 
      "multicenter study", 
      "knee arthroplasty", 
      "joint depression", 
      "fracture table", 
      "affected leg", 
      "articular fractures", 
      "bony healing", 
      "nail insertion", 
      "joint mobility", 
      "proximal tibia", 
      "week 6", 
      "screw breakage", 
      "high risk", 
      "distal third", 
      "intramedullary nail", 
      "tibia nail", 
      "lower leg", 
      "tissue problems", 
      "simple fractures", 
      "tibial cavity", 
      "fracture status", 
      "bony contact", 
      "knee joint", 
      "reduction clamp", 
      "joint line", 
      "patients", 
      "primary stability", 
      "fixation frame", 
      "tibia", 
      "fibula", 
      "good bony contact", 
      "infection", 
      "healing", 
      "malalignment", 
      "risk", 
      "fracture patterns", 
      "nail", 
      "fractures", 
      "general condition", 
      "canal", 
      "implants", 
      "screws", 
      "leg", 
      "ObjectiveRestoration", 
      "good reduction", 
      "arthroplasty", 
      "osteosynthesis", 
      "mobilization", 
      "ankle", 
      "knee", 
      "flexion", 
      "aftercare", 
      "cases", 
      "weeks", 
      "depression", 
      "insertion", 
      "crutches", 
      "reduction", 
      "clamp", 
      "isthmus", 
      "rate", 
      "status", 
      "third", 
      "options", 
      "years", 
      "joints", 
      "ETN", 
      "control", 
      "axis", 
      "lines", 
      "study", 
      "cavity", 
      "length", 
      "segments", 
      "use", 
      "impression", 
      "patterns", 
      "distractors", 
      "contact", 
      "end", 
      "opening", 
      "area", 
      "drill", 
      "height", 
      "rotation", 
      "breakage", 
      "conditions", 
      "same height", 
      "mobility", 
      "Union", 
      "table", 
      "devices", 
      "problem", 
      "wire", 
      "stability", 
      "frame", 
      "drapery", 
      "ObjectiveRestoration of axis", 
      "certain intraarticular fractures", 
      "AO 43", 
      "Surgical techniqueClosed reduction", 
      "techniqueClosed reduction", 
      "sterile drapery", 
      "percutaneous small fragment screws", 
      "fragment screws", 
      "ExpertTM tibia nail", 
      "Control of axis", 
      "radiolucent drill", 
      "Postoperative managementImmediate mobilization", 
      "managementImmediate mobilization", 
      "ray control 6 weeks", 
      "initial good reduction", 
      "implant-specific risk", 
      "additional fibula", 
      "suprasyndesmal distal tibia-fibular fractures", 
      "distal tibia-fibular fractures", 
      "tibia-fibular fractures", 
      "Marknagelung distaler Unterschenkelfrakturen", 
      "distaler Unterschenkelfrakturen", 
      "Unterschenkelfrakturen", 
      "Beispiel des ExpertTM Tibianagels", 
      "des ExpertTM Tibianagels", 
      "ExpertTM Tibianagels", 
      "Tibianagels"
    ], 
    "name": "Marknagelung distaler Unterschenkelfrakturen am Beispiel des ExpertTM Tibianagels", 
    "pagination": "397-410", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1028962593"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00064-011-0071-5"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "22159844"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00064-011-0071-5", 
      "https://app.dimensions.ai/details/publication/pub.1028962593"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2021-11-01T18:16", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20211101/entities/gbq_results/article/article_544.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00064-011-0071-5"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00064-011-0071-5'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00064-011-0071-5'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00064-011-0071-5'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00064-011-0071-5'


 

This table displays all metadata directly associated to this object as RDF triples.

319 TRIPLES      22 PREDICATES      192 URIs      181 LITERALS      21 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00064-011-0071-5 schema:about N0d54e300322f4dc794a79cc3cd0fe282
2 N0f6717c4f2ab45cf8a92b2a90c5d5524
3 N26052b8193694866bfbe4f290db5520f
4 N2ae7c2e7c0c34c1a94033110f0cf890b
5 N3cf0b10ec5c84ef090c7e3cb1bb87bad
6 N4ccc3b8f1cb748c081131ca731f99777
7 N50264b6f498649b7ba505c1ead1058be
8 N5404f742d7b84723995b1bb1abff9883
9 N542f243d6e224e0c8bec19d637e8302f
10 N80466a420a6e4139a373d6651ba23b4e
11 N8d91aa42e0604aed89339e8e22cb911c
12 N924e6c8d6a6c4c3caea05d3d051a4c17
13 Na82acf66cd2641af9b735e03f59395e3
14 Nd818d6f4319947f2b63a197534c4387b
15 anzsrc-for:11
16 anzsrc-for:1103
17 schema:author N559b0a9adc274bd1b27a3af3c69554dd
18 schema:citation sg:pub.10.1007/s00064-009-2010-2
19 sg:pub.10.1007/s001130170078
20 sg:pub.10.1007/s113-002-8167-4
21 schema:datePublished 2011-12
22 schema:datePublishedReg 2011-12-01
23 schema:description ObjectiveRestoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for functional aftercare and to maintain joint mobility. Good bony healing in closed and open fractures.IndicationsClosed and open fractures of the tibia and complete lower leg fractures distal to the isthmus (AO 42), extraarticular fractures of the distal tibia (AO 43 A1/A2/A3), segmental fractures of the tibia with a fracture in the distal tibia, and certain intraarticular fractures of the distal tibia without impression of the joint line with the use of additional implants (AO 43 C1)ContraindicationsPatient in reduced general condition (e.g., bed ridden), flexion of the knee of less than 90°, patients with knee arthroplasty of the affected leg, infection in the area of the nail’s insertion, infection of the tibial cavity, complex articular fractures of the proximal or distal tibia with joint depression.Surgical techniqueClosed reduction of the fracture preferably on a fracture table or using a distractor or an external fixation frame. If necessary, use pointed reduction clamps or sterile drapery. In some cases, additional implants like percutaneous small fragment screws, poller screws or k-wires are helpful. Open reduction is rarely necessary and must be avoided. Opening of the proximal tibia in line with the medullary canal. Canulated insertion of the ExpertTM tibia nail (ETN; Synthes GmbH, Oberdorf, Switzerland) with reaming of the medullary canal. Control of axis, length, and rotation. Distal interlocking with the radiolucent drill and proximal interlocking with the targeting device.Postoperative managementImmediate mobilization of ankle and knee joint. Mobilization with 20 kg weight-bearing with crutches. X-ray control 6 weeks postoperatively and increased weight-bearing depending on the fracture status. In cases with simple fractures, good bony contact, or transverse fracture pattern, full weight-bearing at the end of week 6 is targeted.ResultsBetween July 2004 and May 2005, 180 patients were included in a multicenter study. The follow-up rate was 81% after 1 year. Of these, 91 fractures (50.6%) were located in the distal third of the tibia. In this segment, the rate of delayed union was 10.6%. Malalignment of > 5° was observed in 5.4%. A secondary malalignment after initial good reduction was detected in only 1.1% of all cases. The implant-specific risk for screw breakage was 3.2%. One patient sustained a deep infection. If additional fibula plating was performed an 8-fold higher risk for delayed bone healing was observed (95%CI: 2.9–21.2, p< 0.001). If the fracture of the fibula was at the same height as on the tibia, the risk for delayed healing was even 14-fold (95%CI: 3.4–62.5, p< 0.001). Biomechanically plating of the fibula does not increase stability in suprasyndesmal distal tibia-fibular fractures treated with an intramedullary nail. Using the ETN with its optimized locking options, fibula plating is not recommended, thus, avoiding soft tissue problems and potentially delayed bone healing.
24 schema:genre article
25 schema:inLanguage de
26 schema:isAccessibleForFree false
27 schema:isPartOf N746a7ff3514d42dc86bdcc4479828585
28 N936619d9a97a4326a4ba32a296951664
29 sg:journal.1115235
30 schema:keywords AO 43
31 Beispiel des ExpertTM Tibianagels
32 Control of axis
33 ETN
34 ExpertTM Tibianagels
35 ExpertTM tibia nail
36 Marknagelung distaler Unterschenkelfrakturen
37 ObjectiveRestoration
38 ObjectiveRestoration of axis
39 Poller screws
40 Postoperative managementImmediate mobilization
41 Surgical techniqueClosed reduction
42 Tibianagels
43 Union
44 Unterschenkelfrakturen
45 additional fibula
46 additional implants
47 affected leg
48 aftercare
49 ankle
50 area
51 arthroplasty
52 articular fractures
53 axis
54 bone healing
55 bony contact
56 bony healing
57 breakage
58 canal
59 cases
60 cavity
61 certain intraarticular fractures
62 clamp
63 complex articular fractures
64 conditions
65 contact
66 control
67 controls 6 weeks
68 crutches
69 deep infection
70 depression
71 des ExpertTM Tibianagels
72 devices
73 distal third
74 distal tibia
75 distal tibia-fibular fractures
76 distaler Unterschenkelfrakturen
77 distractors
78 drapery
79 drill
80 end
81 external fixation frame
82 extraarticular fractures
83 fibula
84 fixation frame
85 flexion
86 fracture patterns
87 fracture status
88 fracture table
89 fractures
90 fragment screws
91 frame
92 functional aftercare
93 general condition
94 good bony contact
95 good bony healing
96 good reduction
97 healing
98 height
99 high risk
100 implant-specific risk
101 implants
102 impression
103 infection
104 initial good reduction
105 insertion
106 intraarticular fractures
107 intramedullary nail
108 isthmus
109 joint depression
110 joint line
111 joint mobility
112 joints
113 knee
114 knee arthroplasty
115 knee joint
116 leg
117 leg fractures
118 length
119 lines
120 lower leg
121 lower leg fractures
122 malalignment
123 managementImmediate mobilization
124 medullary canal
125 mobility
126 mobilization
127 multicenter study
128 nail
129 nail insertion
130 open fractures
131 open reduction
132 opening
133 options
134 osteosynthesis
135 patients
136 patterns
137 percutaneous small fragment screws
138 pointed reduction clamp
139 primary stability
140 problem
141 proximal tibia
142 radiolucent drill
143 rate
144 ray control 6 weeks
145 reduction
146 reduction clamp
147 risk
148 rotation
149 same height
150 screw breakage
151 screws
152 secondary malalignment
153 segmental fractures
154 segments
155 simple fractures
156 small fragment screws
157 soft tissue problems
158 stability
159 status
160 sterile drapery
161 study
162 sufficient primary stability
163 suprasyndesmal distal tibia-fibular fractures
164 table
165 techniqueClosed reduction
166 third
167 tibia
168 tibia nail
169 tibia-fibular fractures
170 tibial cavity
171 tissue problems
172 transverse fracture pattern
173 use
174 week 6
175 weeks
176 wire
177 years
178 schema:name Marknagelung distaler Unterschenkelfrakturen am Beispiel des ExpertTM Tibianagels
179 schema:pagination 397-410
180 schema:productId Nb68e274e2f0f4e1a9bbc14f28f9cdbfd
181 Nd0f7b72ed8f94ccab58d8b7c09554705
182 Nf62b1a6bde4c4f1c8a05365250a7bfe1
183 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028962593
184 https://doi.org/10.1007/s00064-011-0071-5
185 schema:sdDatePublished 2021-11-01T18:16
186 schema:sdLicense https://scigraph.springernature.com/explorer/license/
187 schema:sdPublisher Nea5c6a98b1d146e39214e3599ed9925b
188 schema:url https://doi.org/10.1007/s00064-011-0071-5
189 sgo:license sg:explorer/license/
190 sgo:sdDataset articles
191 rdf:type schema:ScholarlyArticle
192 N0d54e300322f4dc794a79cc3cd0fe282 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
193 schema:name Aged
194 rdf:type schema:DefinedTerm
195 N0f6717c4f2ab45cf8a92b2a90c5d5524 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
196 schema:name Tibial Fractures
197 rdf:type schema:DefinedTerm
198 N26052b8193694866bfbe4f290db5520f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
199 schema:name Aged, 80 and over
200 rdf:type schema:DefinedTerm
201 N2ae7c2e7c0c34c1a94033110f0cf890b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
202 schema:name Middle Aged
203 rdf:type schema:DefinedTerm
204 N3173663b658c4d48a057f66f3eca36a5 rdf:first sg:person.01234040540.27
205 rdf:rest rdf:nil
206 N3cf0b10ec5c84ef090c7e3cb1bb87bad schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
207 schema:name Ankle Injuries
208 rdf:type schema:DefinedTerm
209 N49c2bd6c95744858b8a0e69d741b80a0 rdf:first sg:person.0626406761.41
210 rdf:rest N9ec56fa4b93e4611855637ba95ad2ddf
211 N4ccc3b8f1cb748c081131ca731f99777 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
212 schema:name Male
213 rdf:type schema:DefinedTerm
214 N50264b6f498649b7ba505c1ead1058be schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
215 schema:name Bone Plates
216 rdf:type schema:DefinedTerm
217 N5404f742d7b84723995b1bb1abff9883 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
218 schema:name Treatment Outcome
219 rdf:type schema:DefinedTerm
220 N542f243d6e224e0c8bec19d637e8302f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
221 schema:name Adult
222 rdf:type schema:DefinedTerm
223 N559b0a9adc274bd1b27a3af3c69554dd rdf:first sg:person.01216176531.55
224 rdf:rest Ne540c59379324e489eb8fdf597664665
225 N746a7ff3514d42dc86bdcc4479828585 schema:volumeNumber 23
226 rdf:type schema:PublicationVolume
227 N80466a420a6e4139a373d6651ba23b4e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
228 schema:name Female
229 rdf:type schema:DefinedTerm
230 N8d91aa42e0604aed89339e8e22cb911c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
231 schema:name Fracture Fixation, Intramedullary
232 rdf:type schema:DefinedTerm
233 N924e6c8d6a6c4c3caea05d3d051a4c17 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
234 schema:name Bone Nails
235 rdf:type schema:DefinedTerm
236 N936619d9a97a4326a4ba32a296951664 schema:issueNumber 5
237 rdf:type schema:PublicationIssue
238 N9ec56fa4b93e4611855637ba95ad2ddf rdf:first sg:person.0763573777.20
239 rdf:rest Na94e22c2cace4b4894d7f84922355db9
240 Na82acf66cd2641af9b735e03f59395e3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
241 schema:name Radiography
242 rdf:type schema:DefinedTerm
243 Na94e22c2cace4b4894d7f84922355db9 rdf:first sg:person.01266436472.61
244 rdf:rest N3173663b658c4d48a057f66f3eca36a5
245 Nb68e274e2f0f4e1a9bbc14f28f9cdbfd schema:name dimensions_id
246 schema:value pub.1028962593
247 rdf:type schema:PropertyValue
248 Nd0f7b72ed8f94ccab58d8b7c09554705 schema:name pubmed_id
249 schema:value 22159844
250 rdf:type schema:PropertyValue
251 Nd818d6f4319947f2b63a197534c4387b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
252 schema:name Humans
253 rdf:type schema:DefinedTerm
254 Ne540c59379324e489eb8fdf597664665 rdf:first sg:person.01336560254.19
255 rdf:rest N49c2bd6c95744858b8a0e69d741b80a0
256 Nea5c6a98b1d146e39214e3599ed9925b schema:name Springer Nature - SN SciGraph project
257 rdf:type schema:Organization
258 Nf62b1a6bde4c4f1c8a05365250a7bfe1 schema:name doi
259 schema:value 10.1007/s00064-011-0071-5
260 rdf:type schema:PropertyValue
261 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
262 schema:name Medical and Health Sciences
263 rdf:type schema:DefinedTerm
264 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
265 schema:name Clinical Sciences
266 rdf:type schema:DefinedTerm
267 sg:journal.1115235 schema:issn 0934-6694
268 1439-0981
269 schema:name Operative Orthopädie und Traumatologie
270 schema:publisher Springer Nature
271 rdf:type schema:Periodical
272 sg:person.01216176531.55 schema:affiliation grid-institutes:grid.5361.1
273 schema:familyName El Attal
274 schema:givenName R.
275 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01216176531.55
276 rdf:type schema:Person
277 sg:person.01234040540.27 schema:affiliation grid-institutes:grid.5361.1
278 schema:familyName Blauth
279 schema:givenName M.
280 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01234040540.27
281 rdf:type schema:Person
282 sg:person.01266436472.61 schema:affiliation grid-institutes:grid.5802.f
283 schema:familyName Rommens
284 schema:givenName P.M.
285 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01266436472.61
286 rdf:type schema:Person
287 sg:person.01336560254.19 schema:affiliation grid-institutes:None
288 schema:familyName Hansen
289 schema:givenName M.
290 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01336560254.19
291 rdf:type schema:Person
292 sg:person.0626406761.41 schema:affiliation grid-institutes:grid.5361.1
293 schema:familyName Rosenberger
294 schema:givenName R.
295 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626406761.41
296 rdf:type schema:Person
297 sg:person.0763573777.20 schema:affiliation grid-institutes:grid.5361.1
298 schema:familyName Smekal
299 schema:givenName V.
300 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0763573777.20
301 rdf:type schema:Person
302 sg:pub.10.1007/s00064-009-2010-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037518985
303 https://doi.org/10.1007/s00064-009-2010-2
304 rdf:type schema:CreativeWork
305 sg:pub.10.1007/s001130170078 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019444436
306 https://doi.org/10.1007/s001130170078
307 rdf:type schema:CreativeWork
308 sg:pub.10.1007/s113-002-8167-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021183960
309 https://doi.org/10.1007/s113-002-8167-4
310 rdf:type schema:CreativeWork
311 grid-institutes:None schema:alternateName Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum Worms, Worms, Deutschland
312 schema:name Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum Worms, Worms, Deutschland
313 rdf:type schema:Organization
314 grid-institutes:grid.5361.1 schema:alternateName Universitätsklinik für Unfallchirurgie und Sporttraumatologie, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich
315 schema:name Universitätsklinik für Unfallchirurgie und Sporttraumatologie, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich
316 rdf:type schema:Organization
317 grid-institutes:grid.5802.f schema:alternateName Klinik für Unfallchirurgie, Johannes Gutenberg-Universität, Mainz, Deutschland
318 schema:name Klinik für Unfallchirurgie, Johannes Gutenberg-Universität, Mainz, Deutschland
319 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...