Tensioned Wire-Assisted Intramedullary Nail Treatment of Proximal Tibia Shaft Fractures

A Technical Trick

Razvan Nicolescu, Stephen Quinnan, Charles M. Lawrie, James Hutson, Jr.

Research output: Contribution to journalArticle

Abstract

Proximal tibia shaft fractures are often challenging to manage because of their intrinsic tendency toward valgus and apex anterior deformity. In recent years, intramedullary nailing (IMN) has become more frequently used to treat these injuries, allowing for biologic advantages such as load-sharing, immediate weight-bearing, and avoidance of disruption of periosteal blood supply. Several adjunctive techniques, such as semiextended positioning, blocking screws, and external fixation, have been developed to assist with fracture reduction during IMN. We describe a new adjunctive reduction technique-tensioned wire-assisted IMN-for the treatment of proximal tibia shaft fractures. We have found that tensioned wire assistance facilitates fracture reduction during IMN, does not interfere with intraoperative image intensification, and is compatible with both standard nailing instrumentation and additional adjunctive techniques. We present tensioned wire nailing as a technical trick for anatomic and stable reduction of proximal tibia fractures and compare a cohort of proximal tibia shaft fractures managed with and without tensioned wire assistance.

Original languageEnglish (US)
Pages (from-to)e104-e109
JournalJournal of orthopaedic trauma
Volume33
Issue number3
DOIs
StatePublished - Mar 1 2019

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Intramedullary Fracture Fixation
Nails
Tibia
Fracture Fixation
Weight-Bearing
Therapeutics
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Tensioned Wire-Assisted Intramedullary Nail Treatment of Proximal Tibia Shaft Fractures : A Technical Trick. / Nicolescu, Razvan; Quinnan, Stephen; Lawrie, Charles M.; Hutson, Jr., James.

In: Journal of orthopaedic trauma, Vol. 33, No. 3, 01.03.2019, p. e104-e109.

Research output: Contribution to journalArticle

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