Online ISSN: 2515-8260

Keywords : Tibia


REAMED INTRAMEDULLARY INTERLOCKING NAILS: A PREFERABLE OPTION FOR FIXING TIBIAL FRACTURES IN ADULTS

Biju Raveendran, Anvesh Gattu, A. Imadulla

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2632-2641

Background: The frequently fractured long bone in the human anatomy is tibia and the mode of surgical procedure relays on evaluating the mode of injury, configuration of fracture and individual health and financial status. The use of non-operative treatment of tibial fractures is associated with a high prevalence of malunion, joint rigidity and deprived functional consequence. Tibial shaft fractures are recurrently treated by intramedullary interlocking nails. The necessity of opting reamed intramedullary nail is considered the gold standard implant for tibial fractures in closed and open (Gustilos) fractures.
Materials and Methods: The study consists of 52 patients with tibia shaft fracture treated with tibia interlocking nail. Clinical outcome and functional results were evaluated by Klemm and Borner criteria.
Results: In this study, we have operated a total 52 cases with tibia interlocking nail in tibial shaft fractures. The union rate in closed fracture was started earlier at 12.50 weeks in 80.76% (42) cases and it took 15.89 weeks in 13.46% in (7) cases and 19.50 weeks in 5.76% (3) cases for union in Type I and Type II fracture respectively. The study yielded about 92.30% (48 cases) of excellent result.
Conclusion: The present study shows that closed fractures of the tibia shaft treated with interlocking intramedullary tibia nailing involves minimal surgical trauma and negligible blood loss. It provides the advantages of early ambulation, lower rates of infection and non-union. A significant advantage of interlocking nail in addition to early joint mobilisation, is early weight bearing which allows earlier return to work. Hence the study concluded that closed interlocking intramedullary nail is the treatment of choice in closed tibia shaft fracture.

To measure the tibial and femoral footprint of ACL in Indian patients (with and without ACL injury) using MRI of normal patients, during (ACLR) and during TKR

Dr Irphan Shaikh, Dr Sameer Chaudhari, Dr Abhay Narvekar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1412-1423

Aim: To measure the tibial and femoral footprint of ACL in Indian patients (with and
without ACL injury) using MRI of normal patients, during (ACLR) and during TKR.
Materials and Methods: The present prospective study was conducted at PD HINDUJA
hospital and medical research center, Mumbai from March 2015 to November 2015
among 100 patients of Indian origin undergoing arthroscopy, TKR and MRI in our
hospital. We have taken three separate patients group undergoing different procedure
related to knee i.e. Group 1 (Arthroscopic ACL reconstruction), Group 2 (Total knee
replacement) and Group 3 (Diagnostic MRI). As MRI are done in extension of knee,
femoral footprint was in vertically oval plane, so calculating length of maximum
Supero-inferior measurement on MRI sequence of femoral footprint was giving us
length of femoral footprint. All above-mentioned readings were added in tabular form
in excel sheet master chart and was statistically analyzed using SPSS software version
24.

OUR EXPERIENCE OF SURGICAL TREATMENT OF UNKNOWN FRACTURES AND FALSE JOINTS OF THE SHIN BONES

Tilyakov Aziz Burievich; Tilakov Buri Tilakovich; Tilyakov Khasan Azizovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 2104-2109

The results of locked intramedullary osteosynthesis in 48 patients with pseudarthrosis and nonunion of the tibia, from 6 months to 4 years, have been observed. In 27 cases the patients had been previously operated by means of external fixation with Ilizarov apparatus, and with plates. We achieved union in 44 patients (91,6%) at 10 - 1,3 months, including 4 from 6 patients with bone defects and osteomyelitis of the tibia with remission. The results of treatment allow the application of locked intramedullary osteosynthesis in complicated pseudarthrosis.