• Arch Orthop Trauma Surg · Jan 2001

    Comparative Study

    The nail-insertion point in unreamed tibial nailing and its influence on the axial malalignment in proximal tibial fractures.

    • O Lembcke, A Rüter, and A Beck.
    • Second Department of Orthopaedic Surgery, Hessingklinik, Hessingstrasse 17, 86199 Augsburg, Germany. o.lembcke@augsburg.baynet.de
    • Arch Orthop Trauma Surg. 2001 Jan 1; 121 (4): 197-200.

    AbstractThe consequence of choosing a point of insertion for the nail (i.e. medial or lateral of the lig. patellae) in unreamed tibial nailing (AO unreamed tibial nail, UTN) was studied in 22 formaldhyde-fixed tibiae. A lateral osteotomy at the transition from the first to the second fifth of the tibia was used as a model for the fracture. A nail insertion point medial of the lig. patellae caused a valgus deformity, combined with a shift of the distal fragment to the medial side. A lateral point of entry resulted in a varus deformity, together with a lateral shift of the distal fragment. Our results show that the insertion point of the nail is important for the alignment of the axis. Choosing a different point for the insertion of the nail can be useful in operative correction of malalignment of the tibia.

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