{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T05:26:04Z","timestamp":1737696364663,"version":"3.33.0"},"reference-count":17,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Distal tibial fractures are common lower-limb injuries and are generally associated with a high risk of postoperative complications, especially in patients with multiple medical comorbidities. This study sought to ascertain the efficacy of retrograde intramedullary tibial nails (RTN) for treating extra-articular distal tibial fractures in high-risk patients. Between January 2019 and December 2021, 13 patients considered at high risk for postoperative complications underwent RTN fixation. Comorbidities in the patient sample included diabetes, renal disease, hypertension, severe osteoporosis, hemorrhagic blisters, long-term smoking, alcoholism and so on. Medical records were retrospectively reviewed to assess treatment data, wound complications, infections, hardware failure, time to bone union, and functional outcomes. The mean preoperative waiting time and operation duration was 7.1 \u00b1 1.7 days and 61.1 \u00b1 7.1 minutes, respectively. The hospital stay time ranged from 10 to 16 days, with a mean of 12.6 \u00b1 1.9 days. All patients were monitored for a mean follow-up time of 17.5 \u00b1 3.3 months. All patients achieved fracture union with an average healing time of 5.0 \u00b1 0.7 months. No implant failure or persistent pain was observed in the surgical site. Two patients had superficial infection, but no further complications resulted from the incision. At the final follow-up, the average AOFAS score was 84.0 \u00b1 7.3 points, with an excellent and good rate of 76.9%. RTN appears to be a reliable treatment option for extra-articular distal tibial fractures in high-risk patients.<\/jats:p>","DOI":"10.52628\/90.3.12760","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T21:38:38Z","timestamp":1737668318000},"page":"559-565","source":"Crossref","is-referenced-by-count":0,"title":["Distal tibial fractures fixation using retrograde tibial intramedullary nail in high-risk patients: a retrospective study"],"prefix":"10.52628","volume":"90","author":[{"given":"H","family":"LIU","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"XU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"XIONG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"ZHANG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"LUO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"WU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Wang Z, Cheng Y, Xin D, et al. Expert Tibial Nails for Treating Distal Tibial Fractures With Soft Tissue Damage: A Patient Series. J Foot Ankle Surg 2017; 56:1232-1235.","DOI":"10.1053\/j.jfas.2017.07.011"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Prasad P, Nemade A, Anjum R, Joshi N. Extra-articular distal tibial fractures, is interlocking nailing an option? A prospective study of 147 cases. Chin J Traumatol 2019; 22:103-107.","DOI":"10.1016\/j.cjtee.2018.12.005"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Sitnik A, Beletsky A, Schelkun S. Intra-articular fractures of the distal tibia: Current concepts of management. EFORT Open Rev 2017; 2:352-361.","DOI":"10.1302\/2058-5241.2.150047"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Joveniaux P, Ohl X, Harisboure A, et al. Distal tibia fractures: management and complications of 101 cases. Int Orthop 2010; 34:583-588.","DOI":"10.1007\/s00264-009-0832-z"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Liu XK, Xu WN, Xue QY, Xue QY, Liang QW. Intramedullary Nailing Versus Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures: A Systematic Review and Meta- Analysis. Orthop Surg 2019; 11: 954-965.","DOI":"10.1111\/os.12575"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Kuhn S, Appelmann P, Pairon P, Mehler D, Rommens PM. The Retrograde Tibial Nail: presentation and biomechanical evaluation of a new concept in the treatment of distal tibia fractures. Injury 2014; 45: S81-86.","DOI":"10.1016\/j.injury.2013.10.025"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Kuhn S, Appelmann P, Mehler D, Pairon P, Rommens PM. Retrograde tibial nailing: a minimally invasive and biomechanically superior alternative to angle-stable plate osteosynthesis in distal tibia fractures. J Orthop Surg Res 2014;9:35.","DOI":"10.1186\/1749-799x-9-35"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Peng B, Wan T, Tan W, Guo W, He M. Novel Retrograde Tibial Intramedullary Nailing for Distal Tibial Fractures. Front Surg 2022; 9:899483.","DOI":"10.3389\/fsurg.2022.899483"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Basques BA, Miller CP, Golinvaux NS, Bohl DD, Grauer JN.Morbidity and readmission after open reduction and internal fixation of ankle fractures are associated with preoperative patient characteristics. Clin Orthop Relat Res 2015;473:1133.","DOI":"10.1007\/s11999-014-4005-z"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Dabash S, Eisenstein ED, Potter E, Kusnezov N, Thabet AM, Abdelgawad AA. Unstable Ankle Fracture Fixation Using Locked Fibular Intramedullary Nail in High-Risk Patients. JFoot Ankle Surg 2019; 58:357-362.","DOI":"10.1053\/j.jfas.2018.08.033"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Ekegren CL, Edwards ER, de Steiger R, Gabbe BJ. Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal- Union Following Long Bone Fracture. Int J Environ Res Public Health 2018;15:2845.","DOI":"10.1016\/j.jval.2016.08.110"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Kariya A, Jain P, Patond K, Mundra A. Outcome and complications of distal tibia fractures treated with intramedullary nails versus minimally invasive plate osteosynthesis and the role of fibula fixation. Eur J Orthop Surg Traumatol 2020; 30:1487-1498.","DOI":"10.1007\/s00590-020-02726-y"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Neumann MV, Strohm PC, Reising K, Zwingmann J, Hammer TO, Suedkamp NP. Complications after surgical management of distal lower leg fractures. Scand J Trauma Resusc Emerg Med 2016; 24:146","DOI":"10.1186\/s13049-016-0333-1"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Xue XH, Yan SG, Cai XZ, Shi MM, Lin T. Intramedullary nailing versus plating for extra-articular distal tibial metaphyseal fracture: a systematic review and meta-analysis. Injury 2014; 45:667-676.","DOI":"10.1016\/j.injury.2013.10.024"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Kc KM, Pangeni BR, Marahatta SB, Sigdel A, Kc, A. Comparative study between intramedullary interlocking nailing and minimally invasive percutaneous plate osteosynthesis for distal tibia extra-articular fractures. Chin J Traumatol 2022; 25:90-94.","DOI":"10.1016\/j.cjtee.2021.08.004"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Hofmann GO, Gonschorek O, B\u00dchler M. Retrograde Nagelung der Tibia. Trauma Und Berufskrankheit 2021; 3:S303-S308.","DOI":"10.1007\/pl00014733"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Greenfield J, Appelmann P, Wunderlich F, Mehler D, Rommens PM, Kuhn S. Retrograde tibial nailing of far distal tibia fractures: a biomechanical evaluation of double-versus triple-distal interlocking. Eur J Trauma Emerg Surg 2022;48:3693-3700","DOI":"10.1007\/s00068-021-01843-5"}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T21:38:42Z","timestamp":1737668322000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actaorthopaedica.be\/archive\/volume-90\/issue-3\/reviews\/distal-tibial-fractures-fixation-using-retrograde-tibial-intramedullary-nail-in-high-risk-patients-a\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,12]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.52628\/90.3.12760","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}