ArticleFrontiers in surgery2022
Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures.
Article in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Clinical and Functional Outcomes of Closed Intramedullary Interlocking Nailing in Extra-articular Distal Tibial Fractures: A Prospective Observational Study.Journal of orthopaedic case reports · 2026Article
- [Study on occurrence of anterior ankle pain after distal tibial extra-articular fractures treated with retrograde tibial intramedullary nail].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Comparison of retrograde vs. antegrade intramedullary nailing for extra-articular distal tibial fracture: a retrospective matched case-control study.Frontiers in surgery · 2026Article
- Preliminary retrospective analysis of combined retrograde tibial intramedullary nail and lateral less invasive stabilization system for distal femoral fractures.The Journal of international medical research · 2025Article
- Distal tibial nail for complex nonunion of open distal tibial fracture with diabetes and prior pin-site infection: A case report.International journal of surgery case reports · 2025Article
- Evaluation of the effectiveness of suprapatellar versus infrapatellar approach in intramedullary nailing for the treatment of tibial fractures.European journal of medical research · 2025Article
- Retrograde tibial intramedullary nailing for distal tibial fractures: outcomes and complications.Journal of orthopaedic surgery and research · 2025Article
- Comparison of retrograde and antegrade tibial intramedullary nail in the treatment of extra-articular distal tibial fractures.International orthopaedics · 2025Article
- Nonunion of the distal one-fourth of the tibia treated by retrograde tibial intramedullary nail.The Journal of international medical research · 2024Article
- Retrograde tibial intramedullary nail versus minimally invasive locking plate for extra-articular distal tibial fractures: a comparative and retrospective study.Journal of orthopaedic surgery and research · 2024Article
- Bioimpedance measurement: a non-invasive diagnosis of limb compartment syndrome.Frontiers in bioengineering and biotechnology · 2024Article
- Comparative experimental study of the biomechanical properties of retrograde tibial nailing and distal tibia plate in distal tibia fracture.Frontiers in bioengineering and biotechnology · 2024Article
- Ideal entry point and direction of retrograde intramedullary nailing of the tibia.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Postoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail treatment for distal tibial fractures. Methods: We retrospectively studied 9 cases of patients with distal tibial fractures treated with retrograde intramedullary nailing (IMN). Fracture healing time was based on monthly postoperative x-ray imaging results, and functional outcomes were defined according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. Results: Among the 9 patients with distal tibial fractures from July 2020 to April 2021, the mean age was 51.8 ± 13.8 years. The classification of distal tibial fractures in the 9 patients according to OTA (Orthopaedic Trauma Association) includes 6 extra-articular fractures (3 of type A1, 2 of type A2, and 1 of type A3) and 3 intra-articular fractures (1 of type C1 and 2 of type C2). Among them, there were 5 closed fracture cases and 4 open fracture cases (according to Gustilo classification: 2 of type I, 2 of type II). We treated the fractures surgically with new retrograde tibial intramedullary nailing. The mean follow-up time for this group was 7.9 months (5-12 months). According to monthly postoperative radiographs performed to monitor fracture healing, the mean healing time was 3.3 months (3-4 months). Final postoperative function according to the AOFAS ankle-hindfoot score shows 6 excellent cases, 3 good cases. No serious complications such as postoperative infection, bone and internal fixation exposure, osteofascial compartment syndrome, or vascular nerve injury occurred. Conclusion: The new retrograde tibial intramedullary nail (RTN) has some unique advantages, and its treatment of distal tibial fractures can achieve good efficacy, but further studies are still needed to verify it.
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