Year 2020, Volume 6 , Issue 4, Pages 337 - 342 2020-07-04

Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures

Ali Teoman EVREN [1] , Yüksel Uğur YARADILMIŞ [2] , Mustafa Caner OKKAOĞLU [3] , Ahmet ATEŞ [4] , İsmail DEMİRKALE [5] , Murat ALTAY [6]


Objectives: The effect of an intact or fixated fibula on tibial union and alignment in tibial shaft fractures applied with intramedullary nailing is investigated.

Methods: A retrospective examination was made of 67 patients aged 19-85 years who were applied with intramedullary nailing for a tibial shaft fracture (AO-42) between January 2010 and December 2016. The 44 patients included in the study were separated into 2 groups as those with anatomic fibula (Group 1, n = 12) and those with a fibula fracture which is not fixated (Group 2, n = 32). The patients were evaluated in respect of bone union and malalignment from direct radiographs. Union was evaluated according to the RUST criteria, and the threshold for malalignment was taken as 5˚ in the coronal and sagittal planes.

Results: The patients comprised 24 males and 20 females (M/F: 6/5) with a mean age of 42.7 years (range, 19-76 years). Non-union was observed in 3/12 patients (25%) in Group 1, and in 2/32 (6.3%) patients in Group 2 at 6 months. Malalignment was observed in 1/12 (8.3%) patients in Group 1 (procurvatum) and in 7/32 (21.8%) patients in Group 2, of which 3 (9.3%) were varus, and 4 (12.5%) were valgus. The rate of malalignment was significantly lower in Group 1 than in Group 2.

Conclusions: The results demonstrated that bone union of a tibial shaft fracture is slower in patients with an anatomic fibula compared to those with non-anatomic fibula. Although the anatomic fibula slows the rate of union, it prevents malalignment.

Tibia shaft fracture, intramedullary nailing, intact fibula, malunion, non-union
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Primary Language en
Subjects Orthopedics
Journal Section Original Articles
Authors

Orcid: 0000-0002-1741-3894
Author: Ali Teoman EVREN (Primary Author)
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-7606-5690
Author: Yüksel Uğur YARADILMIŞ
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-9149-1858
Author: Mustafa Caner OKKAOĞLU
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-7576-0026
Author: Ahmet ATEŞ
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0001-7230-1599
Author: İsmail DEMİRKALE
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-1898-3733
Author: Murat ALTAY
Institution: Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey
Country: Turkey


Dates

Publication Date : July 4, 2020

EndNote %0 The European Research Journal Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures %A Ali Teoman Evren , Yüksel Uğur Yaradılmış , Mustafa Caner Okkaoğlu , Ahmet Ateş , İsmail Demi̇rkale , Murat Altay %T Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 4 %R doi: 10.18621/eurj.497382 %U 10.18621/eurj.497382