Poller Blocking Screw Augmentation to Treat Delayed Union of Proximal Tibial Shaft Fracture After Locked IM Nailing

Overview

Journal Acta Biomed

Specialty General Medicine

Date 2021 Feb 2

PMID 33525305

Citations 2

Authors

Alberto Ferreli

Daniela Nonne

Angelo Russo

Giuseppe Dessi

Giuseppe Marongiu

Affiliations

Soon will be listed here.

Abstract

Cases: We present the cases of two adult male patients with painfully delayed union of proximal tibia diaphyseal fracture after intramedullary nailing. Patients underwent to nail dynamization and Poller blocking screw augmentation at 3 and 5 month, respectively, after the index surgery. Both patients were pain-free after the surgery and bone-union were radiographically evident after 3 months. At 12-month follow-up, patients returned to their previous activities.

Conclusions: Although nail dynamization is the choice treatment to obtain fracture compression for delayed union of tibial shaft fractures, augmentation with Poller blocking screw could provide additional mechanical stiffness in unstable supra-isthmic shaft fractures of the tibia and favour bone union.

Citing Articles

Avoiding deformity in proximal tibial nailing: risk factors, deformity rules, tips, and tricks.

Krettek C, Edwards E OTA Int. 2023; 6(3 Suppl):e257.

PMID: 37533440 PMC: 10392440. DOI: 10.1097/OI9.0000000000000257.

A New Technique for Placement of Blocking Screws and its Mechanical Effect on Stability of Tibia Fractures with Distal Fragments after Insertion of Small-Diameter Intramedullary Nails.

Zhang C, Sun L, Wang Q, Huang Q, Lin H, Duan N Orthop Surg. 2021; 13(7):2127-2136.

PMID: 34596359 PMC: 8528988. DOI: 10.1111/os.13149.

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