What is intramedullary nailing of the tibia?
Intramedullary nailing is the most popular and widely used method for treating tibial shaft fractures. Intramedullary nailing involves minimal surgical dissection, allowing preservation of blood supply by not disrupting the soft tissue around the fracture.
What are the common causes for re operation of intramedullary nail fixation for tibial fractures?
However, it appears that fractures treated with an intramedullary nail underwent re-operation to a greater extent due to patient discomfort or “other reasons” which, in most cases, was related to the removal of hardware, whereas the tibial shaft fractures treated with plate fixation underwent re-operation to a greater …
Do intramedullary rods need to be removed?
Once the bone has fully healed, the rod/nail no longer serves a purpose and may be removed. This is typically done a year after the original surgery and can be an outpatient procedure (i.e., the patient does not stay in the hospital overnight after surgery).
Is it necessary to remove the rod from tibia?
“Once the bone or the joint has healed, you don’t absolutely need it in there. It’s just a matter of what someone wants to go through.” After a full 18 months with a rod in my leg, the bone is 100-percent healed and ready to take its typical beating.
Can a titanium rod stay in your leg forever?
Nowadays, after many years of testing, it is proved that of all the metal implants in the human body, titanium implants are the most suitable types for a variety of reasons. The most important reasons are that it can last for a long time, reportedly 20 years.
Can you walk with a tibia fracture?
Can you still walk with a fractured tibia? In most cases, the answer is no. Walking after a tibia fracture can make your injury worse and may cause further damage to the surrounding muscles, ligaments and skin. It’s also likely to be extremely painful.
How does intramedullary nailing affect tibial shaft fractures?
– Dynamisation and early weight-bearing in tibial reamed intramedullary nailing: Its safety and effect on fracture union. – Anterior knee pain and thigh muscle strength after intramedullary nailing of tibial shaft fractures: a report of 40 consecutive cases.
How are nails used to treat a tibia fracture?
– Fractures of the proximal third of the tibial shaft treated with intramedullary nails and blocking screws . – The mechanical effect of blocking screws (“Poller screws”) in stabilizing tibia fractures with short proximal or distal fragments after insertion of small-diameter intramedullary nails.
Is there a randomized trial for tibia nailing?
A Randomized Controlled Trial. – [Intramedullary nailing of the tibia with the expert tibia nail]. – Dynamisation and early weight-bearing in tibial reamed intramedullary nailing: Its safety and effect on fracture union.
When to use intramedullary nailing for diaphysis?
Intramedullary fixation is valuable and appropriate for the majority of tibial fractures. It is well-suited for the mid diaphysis. With newer nail designs and attention to technique, nailing can be extended to both proximal and distal extraarticular fractures.