ArticleJournal of orthopaedic surgery and research2023
Ideal entry point and direction of retrograde intramedullary nailing of the tibia.
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.
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Who cites it
6 citing papers in PubMed.
- Comparison of retrograde vs. antegrade intramedullary nailing for extra-articular distal tibial fracture: a retrospective matched case-control study.Frontiers in surgery · 2026Article
- 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
- 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
Corrections and comments
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Authors and funding
5 authors.
Funding
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.
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