{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:29:15Z","timestamp":1787027355010,"version":"build-2736575974"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T00:00:00Z","timestamp":1652140800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"\n Purpose<\/jats:title>\n Postoperative distal tibial fractures are often associated with complications such as difficulties in fracture healing and surgical incision infection. The purpose of this study is to evaluate the fracture healing time and functional recovery after a retrograde tibial intramedullary nail treatment for distal tibial fractures.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We retrospectively studied 9 cases of patients with distal tibial fractures treated with retrograde intramedullary nailing (IMN). Fracture healing time was based on monthly postoperative x-ray imaging results, and functional outcomes were defined according to the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among the 9 patients with distal tibial fractures from July 2020 to April 2021, the mean age was 51.8\u2009\u00b1\u200913.8 years. The classification of distal tibial fractures in the 9 patients according to OTA (Orthopaedic Trauma Association) includes 6 extra-articular fractures (3 of type A1, 2 of type A2, and 1 of type A3) and 3 intra-articular fractures (1 of type C1 and 2 of type C2). Among them, there were 5 closed fracture cases and 4 open fracture cases (according to Gustilo classification: 2 of type I, 2 of type II). We treated the fractures surgically with new retrograde tibial intramedullary nailing. The mean follow-up time for this group was 7.9 months (5\u201312 months). According to monthly postoperative radiographs performed to monitor fracture healing, the mean healing time was 3.3 months (3\u20134 months). Final postoperative function according to the AOFAS ankle-hindfoot score shows 6 excellent cases, 3 good cases. No serious complications such as postoperative infection, bone and internal fixation exposure, osteofascial compartment syndrome, or vascular nerve injury occurred.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The new retrograde tibial intramedullary nail (RTN) has some unique advantages, and its treatment of distal tibial fractures can achieve good efficacy, but further studies are still needed to verify it.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fsurg.2022.899483","type":"journal-article","created":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T03:30:23Z","timestamp":1652153423000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":18,"title":["Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures"],"prefix":"10.3389","volume":"9","author":[{"given":"Bin","family":"Peng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teng","family":"Wan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenfu","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiming","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.jmbbm.2015.10.029","article-title":"Biomechanical evaluation of intramedullary nail and bone plate for the fixation of distal metaphyseal fractures","volume":"56","author":"Nourisa","year":"2016","journal-title":"J Mech Behav Biomed Mater"},{"key":"B2","doi-asserted-by":"publisher","first-page":"292","DOI":"10.4103\/0019-5413.205674","article-title":"A comparative study of intramedullary interlocking nailing and minimally invasive plate osteosynthesis in extra articular distal tibial fractures","volume":"51","author":"Daolagupu","year":"2017","journal-title":"Indian J Orthop"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.1007\/s00590-020-02726-y","article-title":"Outcome and complications of distal tibia fractures treated with intramedullary nails versus minimally invasive plate osteosynthesis and the role of fibula fixation","volume":"30","author":"Kariya","year":"2020","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"11","DOI":"10.5005\/jp-journals-10080-1418","article-title":"Does the use of blocking screws improve radiological outcomes following intramedullary nailing of distal tibia fractures?","volume":"14","author":"Fawdington","year":"2019","journal-title":"Strategies Trauma Limb Reconstr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e62","DOI":"10.5435\/jaaos-d-20-00309","article-title":"Staying out of trouble with intramedullary nailing of distal tibia fractures","volume":"29","author":"Lee","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1177\/0954411920941664","article-title":"Fixation of distal tibia fracture through plating, nailing, and nailing with Poller screws: a comparative biomechanical-based experimental and numerical investigation","volume":"234","author":"Baseri","year":"2020","journal-title":"Proc Inst Mech Eng H"},{"key":"B7","doi-asserted-by":"publisher","first-page":"S81","DOI":"10.1016\/j.injury.2013.10.025","article-title":"The Retrograde Tibial Nail: presentation and biomechanical evaluation of a new concept in the treatment of distal tibia fractures","volume":"45","author":"Kuhn","year":"2014","journal-title":"Injury"},{"key":"B8","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1007\/s00776-015-0713-9","article-title":"Intramedullary nailing versus minimally invasive plate osteosynthesis for distal extra-articular tibial fractures: a prospective randomized clinical trial","volume":"20","author":"Polat","year":"2015","journal-title":"J Orthop Sci"},{"key":"B9","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1007\/s00264-018-3775-4","article-title":"Extra-articular distal tibia fractures-controversies regarding treatment options. A single-centre prospective comparative study","volume":"42","author":"Mioc","year":"2018","journal-title":"Int Orthop"},{"key":"B10","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/bot.0000000000001358","article-title":"Distal nail target and alignment of distal tibia fractures","volume":"33","author":"Brinkmann","year":"2019","journal-title":"J Orthop Trauma"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1016\/j.injury.2014.02.029","article-title":"A novel technique for accurate Poller (blocking) screw placement","volume":"45","author":"Hannah","year":"2014","journal-title":"Injury"},{"key":"B12","doi-asserted-by":"publisher","first-page":"542623","DOI":"10.1155\/2014\/542623","article-title":"Distal tibial metaphyseal fractures: does blocking screw extend the indication of intramedullary nailing?","volume":"2014","author":"Moongilpatti Sengodan","year":"2014","journal-title":"ISRN Orthop"},{"key":"B13","doi-asserted-by":"publisher","first-page":"16","DOI":"10.5704\/moj.1607.004","article-title":"Anterior knee pain after tibial intra-medullary nailing: is it predictable?","volume":"10","author":"Soraganvi","year":"2016","journal-title":"Malays Orthop J"},{"key":"B14","doi-asserted-by":"crossref","first-page":"203","DOI":"10.55095\/achot2015\/030","article-title":"Retrograde tibial nail: anatomical implantation and surgical feasibility study","volume":"82","author":"Kuhn","year":"2015","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1255","DOI":"10.1007\/s00264-013-2267-9","article-title":"A new angle stable nailing concept for the treatment of distal tibia fractures","volume":"38","author":"Kuhn","year":"2014","journal-title":"Int Orthop"},{"key":"B16","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/1749-799x-9-35","article-title":"Retrograde tibial nailing: a minimally invasive and biomechanically superior alternative to angle-stable plate osteosynthesis in distal tibia fractures","volume":"9","author":"Kuhn","year":"2014","journal-title":"J Orthop Surg Res"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.899483\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T03:38:27Z","timestamp":1700537907000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.899483\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,10]]},"references-count":16,"alternative-id":["10.3389\/fsurg.2022.899483"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.899483","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,10]]},"article-number":"899483"}}