Evidence map›Paper›PMID 37386637›Full record

ArticleJournal of orthopaedic surgery and research2023

Ideal entry point and direction of retrograde intramedullary nailing of the tibia.

Min He, Ziyu Jiang, Wenfu Tan, Zhengmao Li, Bin Peng

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Min HeDepartment of Traumatic Orthopedics, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, China.
Ziyu JiangDepartment of Traumatic Orthopedics, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, China.
Wenfu TanDepartment of Traumatic Orthopedics, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, China.
Zhengmao LiDepartment of Traumatic Orthopedics, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, China.
Bin PengDepartment of Traumatic Orthopedics, Hengyang Medical School, The Second Affiliated Hospital, University of South China, Hengyang, Hunan, 421001, China. 2006pengbin@163.com.

Funding

Scientific Research Project of Hunan Education Department No. 20b507Scientific Research Project of Hunan Health Commission No. D202304077924
6 · The paper itself

Abstract

purposeTo determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia.

methodsThe imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data were imported into the software for processing, so as to obtain a distal tibial fracture model and simulate the retrograde intramedullary nail placement in the tibia. The entry points and angles at which the intramedullary nail could be inserted successfully and the fracture could be maintained in good alignment were overlapped and counted to obtain the safe entry range and angle. The center of this safe range is the ideal entry point for retrograde intramedullary nailing of the tibia, and the mean value of the angle is the ideal direction of entry.

resultsThe ideal entry point of the retrograde intramedullary nailing was located at the midpoint of the medial malleolus in the C-arm fluoroscopic anteroposterior (AP) and lateral view. The ideal nail entry direction was located at the anatomic axis of the medial malleolus in the AP position and at the anatomic axis of the distal tibial metaphysis in the lateral position.

conclusionThe ideal point and direction of nail insertion for retrograde tibial intramedullary nailing is a "double midpoint, double axis" approach.

Indexed as

Fracture Fixation, IntramedullaryTibial FracturesComputer-Aided DesignHumansInternal FixatorsTibiaEntry directionPoint of entryRetrograde intramedullary nailSurgeryTibia

Identifiers

PMID37386637
PMCPMC10311782

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.