Early mobilization is the cornerstone to using intramedullary screw fixation in athletes. Early mobilization is the cornerstone to using intramedullary screw fixation in athletes. Hardware Removal Rate. 37%. 20, No. The concept of quadricortical plating through intramedullary fibular strut graft was first described by Wright et al. [15]. Jones Fracture Fixation (Intramedullary Screw) This procedure is used to correct a Jones fracture - a fracture of the fifth metatarsal bone of the foot. We performed a search of published studies to identify the studies in which fibula fractures were treated with percutaneous intramedullary screw fixation. Plates & Screws vs. Intramedullary Pin. 0%. December 18, 2019 . 3. The diaphyseal canal is then sequentially reamed with the reamers (RMT3130 and RMT3730) while holding the reduction. Incorporating IntraFuse's proprietary FlexThread technology, the distal end of the implant is a flexible, intramedullary screw and the proximal end is a rigid, high-strength intramedullary rod. DOI: 10.1177/107110079401501105 Corpus ID: 20553474; Intramedullary Screw Fixation of Lateral Malleolus Fractures @article{Bankston1994IntramedullarySF, title={Intramedullary Screw Fixation of Lateral Malleolus Fractures}, author={A B Bankston and Lewis D. Anderson and Prasit Nimityongskul}, journal={Foot \& Ankle International}, year={1994}, volume={15}, pages={599 - 607} } Relevant demographic, fracture-related (type and level of the tibia and fibula fracture) and operative variables (depth of the nail, screw type and configuration, use of polar screws, fibular . Conventus Orthopaedics Acquires Novel Intramedullary Technology from IntraFuse. The intramedullary screw provided 66.5% the resistance of torsion, and the buttress plate and lag screw provided 61.5% the resistance to torsion. Background: Open reduction and internal fixation (ORIF) methods, primarily plates and screws, remain the standard of treatment for distal fibular fractures. Make a small skin incision 1cm distal to the tip of the fibula, down the axis of the fibula. Back to Foot & Ankle Procedures Find a Foot Doctor Near You. December 18, 2019 . The aim of the present paper is to review the most recent literature about the epidemiology, mechanism of injury, diagnosis, classification, management and complications of isolated distal fibula fractures treatment. This study evaluates the use of a cannulated intramedullary screw as a minimally invasive treatment method for distal fibular fractures, which has not been reported in the current literature. The Acumed Fibula Nail 2 System is designed to provide an alternate treatment to bone plating by offering a less invasive intramedullary approach to fractures of the fibula. and Tim White, M.D., FRCS The Titanium Flip Button is designed to pass through a 3.5 mm bone tunnel, plates, or intramedullary nails with a nonlocking 3.5 mm hole, while the low-profile titanium Round Button is compatible with a variety of titanium fibula plates and nails with 3.5 mm nonlocking screw holes, including nails in the Acumed Fibula Nail 2 System. lateral malleolus fracture fixed by intramedullary screw done in Rashid Hospital and Trauma Center). Early mobilization is the cornerstone to using intramedullary screw fixation in athletes. During this procedure, the surgeon inserts a screw into the metatarsal to stabilize the bone and allow it to heal properly. The aim of our study was to provide an overview of the published data regarding intramedullary screw fixation of fibula fractures combined with a small consecutive case series. . 0%. The VITUS-Fi Fibula Nail System was developed to treat unstable ankle fractures intramedullary. was the first to describe the use of a fibula osteotomy for correction of a malunited ankle fracture in 1936.3 When correcting an ankle malunion, the objective is to restore the anatomical alignment, congruency and stability of The ideal start site for a 3.5 mm intramedullary fibular screw is at the midline on the lateral radiograph and 3.0 mm lateral to the malleolar fossa on the AP radiograph. Minneapolis, MN - December 18, 2019 - . Acumed® Ankle Syndesmosis Repair System with Acu-Sinch® Knotless The tibiofibular syndesmosis is disrupted in approximately 10-20% of ankle fracture cases and requires repair.1,3 For decades, screw fixation of the syndesmosis has been the gold standard for treatment.1 However, emerging clinical evidence has demonstrated that flexible, suture-based syndesmosis repairs have successful . 9%. 10%. The 44 fractures treated with an intramedullary screw were reviewed retrospectively. Operative fixation of an ankle fracture requires restoration of appropriate length, alignment, and restoration of a stable ankle mortise. The Locking Compression Plate (LCP) distal ulna hook plate fixation was a novel alternative fixation method. The FibuLock ® Nail Ankle Fracture System provides a minimally invasive solution for virtually any distal fibula fracture. Background:Clinical evidence has shown that percutaneous ankle fracture fixation using an intramedullary fibular nail results in good outcomes at 1 year and reduces postoperative wound complication. PATIENTS AND METHODS: A retrospective cohort study was performed including 184 distal tibial fractures and associated fibula fracture treated with IMTN. 37%. Intramedullary nail fixation remains the treatment of choice for unstable and displaced tibial shaft fractures in the adult [ 1 ]. Conclusion. A retrospective study evaluating this treatment method was performed by Latif et al., in which 46 patients underwent intramedullary fixation of the fibula with a 3.5-mm self-tapping screw . In total, 17 studies were selected for review with regards to both clinical and functional outcome [21-37].Three studies involve intramedullary screw fixation [24, 25, 31], and 14 studies involved IMN [21-23, 26-30, 32-37] of distal fibular fractures.Due to the inherent differences in these fixation methods, these techniques were analysed separately. However, in the comminuted osteoporosis or small displaced avulsion FMBFs, anatomical reduction and stable fixation could not be achieved with IMS. 1 Designed in conjunction with Roy Sanders, MD, with . by Dane K. Wukich, MD1 , Bora Rhim, DPM2, Dekarlos M. Dial, DPM3 The Foot and Ankle Online Journal 2 (6): 1 Intramedullary screw fixation of a Jones fracture is described in a basketball player (division I athlete). . Contraindications to intramedullary nailing include immature patients. A single retrograde intramedullary screw fixation (self-tapping 4.2 mm screws or 4.5 mm cortical screws) in unstable distal fibula fractures in patients aged 65 years and older achieved good . Conventus Orthopaedics Acquires Novel Intramedullary Technology from IntraFuse. Acumed is pleased to announce the launch of the Fibula Nail 2 System, designed to provide an alternate treatment to bone plating by offering a less invasive intramedullary approach to fractures of the fibula.This approach can reduce soft-tissue irritation compared with plating through traditional open reduction internal fixation (ORIF). Intramedullary screw fixation of a Jones fracture is described in a basketball player (division I athlete). A novel fibular intramedullary rod obviates the need to use bone plates to treat fibular fractures. with open physes, patients with very small medullary canals, or a. history of tibial osteomyelitis. Varus/valgus and anterior-posterior angulation between studied groups during follow-up period were similar. Jones Fracture Fixation (Intramedullary Screw) This procedure is used to correct a Jones fracture - a fracture of the fifth metatarsal bone of the foot. Hardware Removal Rate. Ideally, Sep-Oct 2017;56(5):1081-1086. doi: 10.1053/j.jfas.2017.05.024. The Titanium Flip Button is designed to pass through a 3.5 mm bone tunnel, plates, or intramedullary nails with a nonlocking 3.5 mm hole, while the low-profile titanium Round Button is compatible with a variety of titanium fibula plates and nails with 3.5 mm nonlocking screw holes, including nails in the Acumed Fibula Nail 2 System. Mid- and long-term outcomes of retrograde intramedullary ankle nail fixation with fins for patients with RA have been reported. To be amenable to fixation with an intramedullary screw, a lateral malleolus fracture must be simple or minimally comminuted because intramedullary fixation will not reliably maintain length in comminuted fractures. Background: Open reduction and internal fixation (ORIF) methods, primarily plates and screws, remain the standard of treatment for distal fibular fractures. Flex-ThreadTM Distal Fibula Intramedullary Nail System The Flex-Thread Distal Fibula Nail is an innovative solution for the treatment and ˜xation of ˜bula fractures and osteotomies. This case report describes the use of a smaller diameter screw to fixate a Jones fracture that failed. The 44 fractures treated with an intramedullary screw were reviewed retrospectively. The distal 4 cm of the fibula is drilled with the cannulated, 6.1 mm Fibula Rod Intramedullary Drill (40-0111) over the guide wire (full depth of the drill flutes). Intramedullary devices for ankle fractures are a continually evolving technology. This study evaluates the use of a cannulated intramedullary screw as a minimally invasive treatment method for distal fibular fractures, which has not been reported in the current literature. are associated with an increased risk of fracture malreduction. Percutaneous Intramedullary Screw Fixation of Distal Fibula Fractures: A Case Series and Systematic Review. Loukachov VV, Birnie MFN, Dingemans SA, de Jong VM, Schepers T. J Foot Ankle Surg, 56(5):1081-1086, 21 Jun 2017 Cited by: 3 articles | PMID: 28647520. Review The use of intramedullary screw fixation might overcome these issues. Analysis and Discussion Speed et al. intramedullary fibular rod compared to the traditional plate and screw fixation. Intramedullary Nails. Surgical Technique . Intramedullary nails of appropriate length were placed retrogradely after the guidance needle was placed at the right position under fluoroscopy. There was no statistical difference between these two groups. Especially in geriatric traumatology and with compromised soft tissue, wound healing becomes the focus of therapy. During this procedure, the surgeon inserts a screw into the metatarsal to stabilize the bone and allow it to heal properly. Surgeons can maintain fracture reduction with all the associated benefits of intramedullary nailing. Bone Plate. The assembly also has a threaded pin, referred to herein as an oblique screw, which . Each nail has triangulation talons providing proximal fixation to the fracture. The results of these two studies are similar to our findings demonstrating that . This assembly has a vertical intramedullary rod that is inserted through the bottom of the calcaneum (i.e., the heel bone), and driven upward into the tibia (the shin bone). Intramedullary fixation may potentially reduce wound complications and symptomatic metalwork and improve recovery times. 9%. 10%. Fibula Fracture Repair FlexThread™ Fibula Pin . This improved mechanical Minneapolis, MN - December 18, 2019 - . Two groups of cases (with fibula fixation) and controls (without fibula fixation) were treated by intramedullary nailing or plate and screw and outcomes were compared between groups. Results: One case of nonunion occurred in the group treated with intramedullary nailing and one of the patients in this group developed late, deep infection in the screws location, which was resolved by screw removal (P = 0.285 and P = 0.478, respectively).In both groups the tibial fractures achieved union in about 4 months, though the intramedullary group underwent more operations to achieve . The aim of our study was to provide an overview of the published data regarding intramedullary screw fixation of fibula fractures combined with a small consecutive case series. A surgical rod-and-screw kit is disclosed, for use in ankle arthrodesis in patients who suffer from severe bone defects in their ankles. Back to Foot & Ankle Procedures Find a Foot Doctor Near You. In addition to more common ankle fractures, length-stable fibula fractures have been successfully treated with intramedullary fixation in the setting of distal tibia pilon fractures.17 Regardless of fracture pattern, these devices are Between January 1993 and December 1995, a prospective study on 49 patients with . 14-16 The mid-term result after intramedullary ankle nail fixation for 51 highly destructive ankle joint cases showed a mean follow-up duration of 71.6 ± 51.1 months and a mean postoperative JSSF score of 65.3 ± 14.9 . The authors reported a union rate of 100% with no patients requiring implant removal or demonstrating evidence of lateral ankle impingement. intramedullary fixation; however, this technique can also be used for oblique and comminuted fractures. We also concluded that if the ligament injury has been dealt with properly and repaired and the fixation is anatomically . lateral malleolus fracture fixed by intramedullary screw done in Rashid Hospital and Trauma Center). Original Research Article DOI: 10.18231/2395-1362.2016.0005 Fixation in bimalleolar fractures of ankle-a comparative study between fibula plating versus intramedullary nailing with medial malleolar screw Murtuza Rassiwala1,*, Jayant Sharma2, Pramod P. Neema3, Mayank Patel4 1,4 Resident, 3HOD, Unique Super Speciality Centre, Indore, 2Associate Professor, Index Medical College, Indore . Antegrade Osteotomy of the Fibula 8 Soft Tissue and Nerve Release 9 Venting of the Tibial Intramedullary Canal 9 Syndesmotic Screws 10 Distal Syndesmotic Screw 10 Proximal Syndesmotic Screw 10 Extra-Articular Calcaneotibial Screw 11 Entry Point and Intramedullary Reaming 11 Tibia Guide Arm Assembly 12 Osteotomy of the Tibia 13 These include lateral vs posterolateral plating, nonlocking vs locking plate fixation, isolated screws and intramedullary fixation. Bone Plate. Keywords: Ankle Fracture; Lateral Malleolus; Intramedullary Screw. To be amenable to fixation with an intramedullary screw, a lateral malleolus fracture must be simple or minimally comminuted because intramedullary fixation will not reliably maintain length in comminuted fractures. Upon insertion of the implant into the fibula, the rigid rod portion of the implant spans and supports the fracture and the flexible screw portion bends as needed to thread into the intramedullary canal. The Fibular Intramedullary Nail Versus Locking Plate and Lag Screw Fixation in the Management of Unstable Elderly Ankle Fractures: A Cadaveric Biomechanical Comparison Article Full-text available A 32-year-old male patient presented fresh fracture of distal tibia-fibula. Because the cortical bone around the fracture site was thin and the medullary canal was wide, we opted to perform revision total elbow replacement with a novel technique using an intramedullary fibula bone graft. Foot & Ankle /. Infection Rate. The FibuLock® fibular nail system was designed to fulfill those operative objectives, while using a soft-tissue-friendly, minimally invasive approach for fibula fractures. The Foot and Ankle Online Journal 2 (6): 1 Intramedullary screw fixation of a Jones fracture is described in a basketball player (division I athlete). IM Pin. ulated OTA/AO 44-B fracture was created, then randomly allocated within each pair to intramedullary nail or locking plate fixation supplemented with an interfragmentary lag screw. Based on this systematic review, intramedullary fixation of the fibula is a viable treatment option for maintenance of reduction in distal fibular fractures. System Features Proximal Flex-Thread Design • Provides secure point-contact fixation within the intramedullary canal • Flexible nail shaft allows the implant to There was no statistical difference between these two groups. It is also intended to be used as an adjunct in external and intramedullary Using the largest screw diameter that comfortably fits the medullary canal, typically a 5.5 or 6.5 mm solid screw, avoiding headless or cannulated screws. Intramedullary nailing combined with covered screw osteosynthesis should reduce the high incidence of soft tissue and ankle problems and should be an alternative to open plate fixation, with good ultimate functional outcome. The 44 fractures treated with an intramedullary screw were reviewed retrospectively. the tip of screw into the ankle joint. Huh J, Glisson R, Matsumoto T, Easley M Foot and Ankle International Vol. Establish the entry point using the 1.6mm x 12" Trocar / Spade Tip Guide Wire and 1.6mm / 6.3mm Soft Tissue Protector Sleeve. This case report describes the… . - The mechanical effect of blocking screws ("Poller screws") in stabilizing tibia fractures with short proximal or distal fragments after insertion of small-diameter intramedullary nails. 1 Hemorrhagic fracture blisters are a disastrous sequela of trauma and are caused by the separation of the epidermis from the dermis and must be healed prior to . Bone Plate. Download Video (87 MB) Download From Vimeo Plates & Screws vs. Intramedullary Pin. This case report describes the use of a smaller diameter screw to fixate a Jones fracture that failed. intramedullary canal in both the AP and lateral views. We performed a search of published studies to identify the studies in which fibula fractures were treated with percutaneous intramedullary screw fixation. IM Pin. Bone Plate. Fibula Fracture Repair FlexThread™ Fibula Pin . For the revision procedure, we used allogenous fibula strut bone (Community Tissue Services, Kettering, OH, USA). The Foot and Ankle Online Journal 2 (6): 1. Surgical Technique . The rod comprises a solid or cannulated elongated member which is insertable upwardly into the fibular medullary canal. The Titanium Flip Button is designed to pass through a 3.5 mm bone tunnel, plates, or intramedullary nails with a nonlocking 3.5 mm hole, while the low-profile titanium Round Button is compatible with a variety of titanium fibula plates and nails with 3.5 mm nonlocking screw holes, including intramedullary fixation nails in the Acumed Fibula . 3. Two screws were placed at the proximal tibia level, one screw in the distal calcaneus bone and one screw at the talus bone [Figure 1]. It is universally agreed now that There was no statistical difference between these two groups. 37, Number 4: 411-418 Background: Intramedullary screw fixation of fifth metatarsal Jones fractures often produces statisfactory results, however, nonunion and refracture rates are not negligible. Tip-Loc™ will allow surgeons to achieve a true double-locked nail, both proximal and distal to the fracture with a sized implant that can more closely match the patient . 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