Intramedullary Nailing of Periarticular Fractures. Issue 18 (15th September 2018)

• Record Type: Journal Article
• Authors: Virkus, Walter W.; Kempton, Laurence B.; Sorkin, Anthony T.; Gaski, Greg E.
• Is Part Of: Journal of the American Academy of Orthopaedic Surgeons. Volume 26:Issue 18(2018)
• Publication Date: 2018-09-15
• Subjects: Orthopedics -- Periodicals; Orthopedic surgery -- Periodicals; Joint Diseases -- Periodicals; Orthopedics -- Periodicals; Orthopedic surgery; Orthopedics; Periodicals; 616.7005
• DOI: 10.5435/JAAOS-D-16-00849
• Languages: English
• ISSNs: 1067-151X

Abstract

Abstract : Plate fixation has historically been the preferred surgical treatment method for periarticular fractures of the lower extremity. This trend has stemmed from difficulties with fracture reduction and concerns of inadequate fixation with intramedullary implants. However, the body of literature on management of periarticular fractures of the lower extremities has expanded in recent years, indicating that intramedullary nailing of distal femur, proximal tibia, and distal tibia fractures may be the preferred method of treatment in some cases. Intramedullary nailing reliably leads to excellent outcomes when performed for appropriate indications and when potential difficulties are recognized and addressed.