A multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-03-20

AUTHORS

Rene Attal, M. Hansen, M. Kirjavainen, H. Bail, T. O. Hammer, R. Rosenberger, D. Höntzsch, P. M. Rommens

ABSTRACT

IntroductionThe aim of this study was to present clinical experience and outcomes of intramedullary nailing of proximal, midshaft and distal tibia fractures with the Expert Tibia Nail (ETN; Synthes GmbH, Switzerland), an implant offering a wide range of proximal and distal locking options in multiple planes to increase stability of the implant and bone construct.Patients and methods180 patients with 185 tibia fractures were enclosed between July 2004 and May 2005 from ten trauma units (Levels I, II and III) and treated with intramedullary reamed and unreamed nailing with the ETN. Patients attended examinations at 12 weeks and 1 year. The occurrence of postoperative complications was documented as well as the outcomes of fracture healing, primary and secondary malalignment, implant failure, rate of infection and the need for reoperation.ResultsThe 1-year follow-up rate was 81 %. At 1 year, the prevalence of delayed union was 12.2 % and higher for open fractures (18.2 %) compared to closed fractures (9.7 %). According to the fracture location, the percentage of delayed union was 5.9, 16.7 and 10.5 % in proximal third, midshaft and distal third cases, respectively. Patients with a plated fibula fracture had an eightfold higher risk of delayed union. The rate of malalignment >5° in any plane 1 year after surgery was 5.5 %. Proximal third fractures were at a higher risk of postoperative malalignment (17.6 %). The rate of secondary malalignment was 1.4 %. The risk of unplanned reoperation was 9.2 %.ConclusionIntramedullary ETN fixation of tibia fractures results in low rates of delayed union, primary and secondary malalignment, implant-related complications, and secondary surgery. Fibula plating had a negative effect on the healing of the tibia. More... »

PAGES

975-984

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00402-012-1502-y

DOI

http://dx.doi.org/10.1007/s00402-012-1502-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027596595

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22431141


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35 schema:description IntroductionThe aim of this study was to present clinical experience and outcomes of intramedullary nailing of proximal, midshaft and distal tibia fractures with the Expert Tibia Nail (ETN; Synthes GmbH, Switzerland), an implant offering a wide range of proximal and distal locking options in multiple planes to increase stability of the implant and bone construct.Patients and methods180 patients with 185 tibia fractures were enclosed between July 2004 and May 2005 from ten trauma units (Levels I, II and III) and treated with intramedullary reamed and unreamed nailing with the ETN. Patients attended examinations at 12 weeks and 1 year. The occurrence of postoperative complications was documented as well as the outcomes of fracture healing, primary and secondary malalignment, implant failure, rate of infection and the need for reoperation.ResultsThe 1-year follow-up rate was 81 %. At 1 year, the prevalence of delayed union was 12.2 % and higher for open fractures (18.2 %) compared to closed fractures (9.7 %). According to the fracture location, the percentage of delayed union was 5.9, 16.7 and 10.5 % in proximal third, midshaft and distal third cases, respectively. Patients with a plated fibula fracture had an eightfold higher risk of delayed union. The rate of malalignment >5° in any plane 1 year after surgery was 5.5 %. Proximal third fractures were at a higher risk of postoperative malalignment (17.6 %). The rate of secondary malalignment was 1.4 %. The risk of unplanned reoperation was 9.2 %.ConclusionIntramedullary ETN fixation of tibia fractures results in low rates of delayed union, primary and secondary malalignment, implant-related complications, and secondary surgery. Fibula plating had a negative effect on the healing of the tibia.
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73 implant offering
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75 infection
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77 location
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84 multiple planes
85 nail
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87 need
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89 occurrence
90 offerings
91 open fractures
92 options
93 outcomes
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96 plane
97 plane 1
98 plated fibula fracture
99 postoperative complications
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101 prevalence
102 proximal third
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104 range
105 rate
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107 reoperation
108 results
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111 secondary surgery
112 series
113 stability
114 study
115 surgery
116 third
117 third case
118 third fractures
119 tibia
120 tibia fractures
121 tibia nail
122 trauma unit
123 units
124 unplanned reoperation
125 weeks
126 wide range
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