Tibial shaft fractures treated with intramedullary nailing and reduction device assistance
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ORIGINAL PAPER
Tibial shaft fractures treated with intramedullary nailing and reduction device assistance Yao Lu 1,2,3 & Bo Wang 1 & Bin Hu 4 & Cheng Ren 1 & Liang Sun 1 & Ming Li 1 & Jie Li 5 & Changjun He 5 & Hanzhong Xue 1 & Zhong Li 1 & Kun Zhang 1 & Teng Ma 1 & Qian Wang 1 Received: 24 February 2020 / Accepted: 7 July 2020 # SICOT aisbl 2020
Abstract Purpose This study aimed to assess the outcomes of a newly invented reduction device on assisting reduction of intramedullary nailing (IMN) in the treatment of tibial shaft fractures. Methods From January 2015 to December 2018, data of patients with tibial shaft fractures treated with IMN were reviewed. In total, 42 patients underwent treatment with the new reduction device (group A) and 56 underwent treatment using a traditional reduction technique (group B). Data related to the closed reduction rate, surgical time, blood loss, number of fluoroscopies, number of surgeons, and number of complications were also reviewed. Fracture healing was assessed using radiographs at each follow-up, and the functional outcome (AOFAS score) was evaluated at the final follow-up. Results The two treatment groups were evenly matched with respect to age, sex, fracture grade, and time to surgery. The average surgical time, blood loss, number of fluoroscopies, and number of surgeons in group A were all lesser than those in group B (P < 0.05). The closed reduction rate in group A was higher than those in group B (P < 0.05). The fracture healing time, AOFAS score, and complication rate were not significantly different (P > 0.05) between the two groups. Conclusion The new reduction device could effectively achieve and maintain the reduction of tibia shaft fractures in a minimally invasive fashion. Keywords Tibia shaft fracture . Closed reduction . Intramedullary nailing
Yao Lu, Bo Wang and Bin Hu contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00264-020-04718-3) contains supplementary material, which is available to authorized users. * Teng Ma [email protected] * Qian Wang [email protected] 1
Department of Orthopaedic Surgery, HongHui Hospital, Xi’an Jiaotong University, 555 Youyi East Road, Xi’an 710054, Shaan’xi Province, China
2
The Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an 710049, China
3
Bioinspired Engineering and Biomechanics Center (BEBC), Xi’an Jiaotong University, Xi’an 710049, China
4
Department of Hematology, Xi’an Gao Xin Hospital, Xi’an 710054, Shaan’xi Province, China
5
Yan’an University, Yan’an 710000, Shaanxi, China
Background Tibial shaft fractures are fractures of the lower limbs, which are common in traffic accidents, acts of violence, falls, and sports injuries [1]. Plating and intramedullary nailing (IMN) are two common fixation methods that are used to manage tibial shaft fractures [2]. Compared with plate fixation, IMN can generate a better biomechanical effect in
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