Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 3 Results of locked intramedullary nail fixation
References | Patients | Age (years) | Male:female | Follow-up (months) | Implant | Union rate (%) | Functional outcome | Complications | Complication rate (%) |
|---|---|---|---|---|---|---|---|---|---|
Kara et al. [26] | 128 | 19–70 (range) | 72:56 | 37.2 | ANK nail | 100 | 74 % good; 22 % fair (subjective) | Posttraumatic osteoarthritis 3 | 10.9 |
Fibular shortening 11 | |||||||||
Kabukcuoglu et al. [27] | 49 | 36.3 | 29:20 | 39 | ANK nail | NR | Baird and Jackson score; 59.2 % excellent; 24.5 % good | Posttraumatic osteoarthritis 3 | 20.4 |
Fibular shortening 4 | |||||||||
Malunion 3 | |||||||||
Ramasamy and Sherry [28] | 9 | 67.2 | 2:7 | 25.9 | SST locked nail | 88.9 | OMS mean not reported; 87.5 % excellent; 12.5 % good | Posttraumatic osteoarthritis 2 | 33.3 |
Mechanical failure 1 | |||||||||
Gehr et al. [29] | 194 | 49.7 | 78:116 | 15 | XS nail | 99.4 | OMS mean not reported; 58.6 % excellent; 33.3 % good | Haematoma 2 | 8.6 |
Infection 1 | |||||||||
Wound breakdown 2 | |||||||||
Refracture 1 | |||||||||
Nonunion 1 | |||||||||
Metalwork problems requiring further surgery 7 | |||||||||
Rajeev et al. [32] | 24 | 79 | 2:22 | 7 | SST locked nail | 100 | OMS 58.125 (mean); 37.5 % good; 62.5 % fair | None | 0 |
Bugler et al. [33] | 105 | 64.8 | 19:86 | 72 | Acumed fibular nail | 100 | OMS 65 (mean); 46 % good; 40 % fair. AAOS F and A score 83; SF-12 score 46 | Mechanical failure 7 | 22.8 |
Infection 5 | |||||||||
Metalwork problems requiring further surgery 4 | |||||||||
Screw impingement 7 | |||||||||
Myocardial infarction 1 | |||||||||
Tawari et al. [36] (abstract) | 18 | 53.6 | NR | 5.4 | NR | 100 | Time to weight bearing: 8.4 weeks | None | 0 |
Bugler et al [37] (abstract, prospective, randomised controlled trial) | 100 patients total | 74 | 25:75 | 12 | Group 1: acumed fibular nail | NR | OMS no significant difference | Group 1 | 0 |
None | |||||||||
Group 2 | Insufficient detail | ||||||||
Group 2: standard plating | |||||||||
Infection 6 | |||||||||
Wound breakdown 2 |