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Hindfoot Valgus following Interlocking Nail Treatment for Tibial Diaphysis Fractures: Can the Fibula Be Neglected?
Joint Authors
Uzun, Metin
Kara, Adnan
Adaş, Müjdat
Karslioğlu, Bülent
Bülbül, Murat
Beksaç, Burak
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Purpose.
We evaluated whether intramedullary nail fixation for tibial diaphysis fractures with concomitant fibula fractures (except at the distal one-third level) managed conservatively with an associated fibula fracture resulted in ankle deformity and assessed the impact of the ankle deformity on lower extremity function.
Methods.
Sixty middle one-third tibial shaft fractures with associated fibular fractures, except the distal one-third level, were included in this study.
All tibial shaft fractures were anatomically reduced and fixed with interlocking intramedullary nails.
Fibular fractures were managed conservatively.
Hindfoot alignment was assessed clinically.
Tibia and fibular lengths were compared to contralateral measurements using radiographs.
Functional results were evaluated using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Foot and Ankle Disability Index Score (FADI).
Results.
Anatomic union, defined as equal length in operative and contralateral tibias, was achieved in 60 fractures (100%).
Fibular shortening was identified in 42 fractures (68%).
Mean fibular shortening was 1.2 cm (range, 0.5–2 cm).
Clinical exams showed increased hindfoot valgus in 42 fractures (68%).
The mean KOOS was 88.4, and the mean FADI score was 90.
Conclusion.
Fibular fractures in the middle or proximal one-third may need to be stabilized at the time of tibial intramedullary nail fixation to prevent development of hindfoot valgus due to fibular shortening.
American Psychological Association (APA)
Uzun, Metin& Kara, Adnan& Adaş, Müjdat& Karslioğlu, Bülent& Bülbül, Murat& Beksaç, Burak. 2014. Hindfoot Valgus following Interlocking Nail Treatment for Tibial Diaphysis Fractures: Can the Fibula Be Neglected?. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1015974
Modern Language Association (MLA)
Uzun, Metin…[et al.]. Hindfoot Valgus following Interlocking Nail Treatment for Tibial Diaphysis Fractures: Can the Fibula Be Neglected?. Advances in Orthopedics No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1015974
American Medical Association (AMA)
Uzun, Metin& Kara, Adnan& Adaş, Müjdat& Karslioğlu, Bülent& Bülbül, Murat& Beksaç, Burak. Hindfoot Valgus following Interlocking Nail Treatment for Tibial Diaphysis Fractures: Can the Fibula Be Neglected?. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1015974
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1015974