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Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing
Joint Authors
Lee, Sang Yang
Matsumoto, Tomoyuki
Fukui, Tomoaki
Matsushita, Takehiko
Takase, Kyohei
Waki, Takahiro
Oe, Keisuke
Kuroda, Ryosuke
Nishida, Kotaro
Niikura, Takahiro
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-23
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Rotational malreduction is a potential complication of intramedullary nailing for tibial shaft fractures.
We experienced a symptomatic case of a 24° externally rotated malunion that we treated with minimally invasive corrective osteotomy.
A 49-year-old man sustained a tibial shaft spiral fracture with a fibula fracture.
He had been initially treated elsewhere with a reamed statically locked intramedullary nail.
Bone union had been obtained, but he complained of asymmetry of his legs, difficulty walking and running, and the inability to ride a bicycle.
We decided to perform corrective osteotomy in a minimally invasive fashion.
After a 1 cm incision was made at the original fracture site, osteotomy for the affected tibia was performed with an osteotome after multiple efforts at drilling around the nail with the aim of retaining it.
Fibula osteotomy was also performed at the same level.
Two Kirschner wires that created an affected rotational angle between the fragments were inserted as a guide for correction.
The distal locking screws were removed.
Correct rotation was regained by matching the two wires in a straight line.
Finally, the distal locking screws were inserted into new holes.
The patient obtained bony union and has returned to his preinjury activities with no symptoms.
American Psychological Association (APA)
Takase, Kyohei& Lee, Sang Yang& Waki, Takahiro& Fukui, Tomoaki& Oe, Keisuke& Matsumoto, Tomoyuki…[et al.]. 2018. Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing. Case Reports in Orthopedics،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1147352
Modern Language Association (MLA)
Takase, Kyohei…[et al.]. Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing. Case Reports in Orthopedics No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1147352
American Medical Association (AMA)
Takase, Kyohei& Lee, Sang Yang& Waki, Takahiro& Fukui, Tomoaki& Oe, Keisuke& Matsumoto, Tomoyuki…[et al.]. Minimally Invasive Treatment for Tibial Malrotation after Locked Intramedullary Nailing. Case Reports in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1147352
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147352