Anatomic Structures at Risk When Utilizing an Intramedullary Nail for Distal Fibular Fractures: A Cadaveric Study

Foot & Ankle Orthopaedics

DavidGoss, Jr.¹ 

关键词: Fibula;    Fracture;    Intramedullary Nail;    Retrograde;    Surgery;   

DOI  :  10.1177/2473011417S000181

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:Distal fibula fractures are most commonly fixated with plate and screw constructs. Conversely, modern generation fibular intramedullary nails are load-sharing devices that offer rigid internal fixation via percutaneous technique with only transaxial screws residing subcuticularly. The relative risk of damage to nearby structures is well characterized for plate and screws constructs; however, no such data is available for fibular nails. As a result, the purpose of this anatomic study was to assess the relative risk to nearby anatomic structures when implanting a current generation retrograde locked intramedullary fibular nail.Methods:This was an IRB-exempt study. Ten human cadaveric lower extremities were instrumented with a contemporary retrograde locked intramedullary fibular nail with three distal locking and two syndesmotic fixation options. The cadavers were then dissected by a single experienced orthopedic foot and ankle surgeon in a standardized fashion. The shorte...

【 授权许可】

CC BY