Immediate Weight Bearing as Tolerated Is Safe Following Intramedullary Fixation of Extra-articular Metaphyseal Proximal Tibia Fractures (OTA/AO 41-A). Issue 1 (January 2023)
- Record Type:
- Journal Article
- Title:
- Immediate Weight Bearing as Tolerated Is Safe Following Intramedullary Fixation of Extra-articular Metaphyseal Proximal Tibia Fractures (OTA/AO 41-A). Issue 1 (January 2023)
- Main Title:
- Immediate Weight Bearing as Tolerated Is Safe Following Intramedullary Fixation of Extra-articular Metaphyseal Proximal Tibia Fractures (OTA/AO 41-A)
- Authors:
- Telgheder, Zachary L.
Hill, Brenton
Huang, Kevin
Watson, David T.
Maxson, Benjamin
Infante, Anthony
Donohue, David
Shah, Anjan
Downes, Katheryne
Sanders, Roy W.
Mir, Hassan R. - Abstract:
- Abstract : Objectives: To determine whether immediate weight bearing after intramedullary fixation of extra-articular proximal tibia fractures (OTA/AO 41A) results in change of alignment before union. Design: Retrospective Review. Setting: Level I and Level II Trauma Center. Patients/Participants: Thirty-seven patients with 37 proximal tibial fractures, all whom could bear weight as tolerated postoperatively. Eighteen fractures were OTA/AO 41-A2, and 19 were OTA/AO 41-A3. Intervention: Intramedullary nailing of extra-articular proximal tibia fractures. Main Outcome Measurements: Change in fracture alignment or loss of reduction. Results: The average change in coronal alignment at the final follow-up was 1.22 ± 1.28 degrees of valgus and 1.03 ± 1.05 degrees of extension in the sagittal plane. Twenty-five patients demonstrated excellent initial alignment, 10 patients demonstrated acceptable initial alignment, and 2 patients demonstrated poor initial alignment. Five patients demonstrated a change in alignment from excellent to acceptable at the final follow-up. No patient went from excellent or acceptable initial alignment to poor final alignment. Five patients required unplanned secondary surgical procedures. Two patients required return to the operating room for soft-tissue coverage procedures, 2 patients required surgical debridement of a postoperative infection, and 1 patient underwent debridement and exchange nailing of an infected nonunion. No patient underwent revisionAbstract : Objectives: To determine whether immediate weight bearing after intramedullary fixation of extra-articular proximal tibia fractures (OTA/AO 41A) results in change of alignment before union. Design: Retrospective Review. Setting: Level I and Level II Trauma Center. Patients/Participants: Thirty-seven patients with 37 proximal tibial fractures, all whom could bear weight as tolerated postoperatively. Eighteen fractures were OTA/AO 41-A2, and 19 were OTA/AO 41-A3. Intervention: Intramedullary nailing of extra-articular proximal tibia fractures. Main Outcome Measurements: Change in fracture alignment or loss of reduction. Results: The average change in coronal alignment at the final follow-up was 1.22 ± 1.28 degrees of valgus and 1.03 ± 1.05 degrees of extension in the sagittal plane. Twenty-five patients demonstrated excellent initial alignment, 10 patients demonstrated acceptable initial alignment, and 2 patients demonstrated poor initial alignment. Five patients demonstrated a change in alignment from excellent to acceptable at the final follow-up. No patient went from excellent or acceptable initial alignment to poor final alignment. Five patients required unplanned secondary surgical procedures. Two patients required return to the operating room for soft-tissue coverage procedures, 2 patients required surgical debridement of a postoperative infection, and 1 patient underwent debridement and exchange nailing of an infected nonunion. No patient underwent revision for implant failure or loss of reduction. Conclusion: Immediate weight bearing after intramedullary fixation of extra-articular proximal tibia fractures (OTA/AO 41A) led to minimal change in alignment at final postoperative radiographs. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. … (more)
- Is Part Of:
- Journal of orthopaedic trauma. Volume 37:Issue 1(2023)
- Journal:
- Journal of orthopaedic trauma
- Issue:
- Volume 37:Issue 1(2023)
- Issue Display:
- Volume 37, Issue 1 (2023)
- Year:
- 2023
- Volume:
- 37
- Issue:
- 1
- Issue Sort Value:
- 2023-0037-0001-0000
- Page Start:
- 38
- Page End:
- 43
- Publication Date:
- 2023-01
- Subjects:
- tibia -- proximal tibia -- weight bearing -- intramedullary nailing
Orthopedics -- Periodicals
Wounds and injuries -- Periodicals
Orthopedics -- Periodicals
Wounds and Injuries -- therapy -- Periodicals
Periodicals
617.47044 - Journal URLs:
- http://journals.lww.com/jorthotrauma/pages/default.aspx ↗
http://www.jorthotrauma.com ↗
http://cufts2.lib.sfu.ca/CJDB/BVAS/journal/149202 ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00005131-000000000-00000 ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/BOT.0000000000002451 ↗
- Languages:
- English
- ISSNs:
- 0890-5339
- Deposit Type:
- Legaldeposit
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