Rose, DM; Smith, TO; Nielsen, D; Hing, CB
(2013)
Expandable intramedullary nails in lower limb trauma: a systematic review of clinical and radiological outcomes.
Strategies Trauma Limb Reconstr, 8 (1).
pp. 1-12.
ISSN 1828-8936
https://doi.org/10.1007/s11751-013-0156-9
SGUL Authors: Hing, Caroline Blanca
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Abstract
This study systematically reviews the evidence-base for the use of expandable nails in the treatment of acute diaphyseal fractures of the lower limb. Both electronic and hand searches were undertaken of the published and grey literature to 1 December 2011. A total of 154 citations were identified, of which 15 were deemed suitable and assessed with the Critical Appraisals Skills Programme tool. A total of 625 nailing procedures were performed in 620 patients: 279 femoral and 346 tibial nails. The expandable nail was found to be significantly quicker to insert than interlocked nails (p < 0.05), and the total incidence of non-union or other complication was 13 and 14 % for expandable femoral and tibial nails, respectively. Notable complications with the expandable nail included fracture propagation on nail inflation in 2.5 % and post-operative shortening in 3.3 %. Device failure secondary to problems with the expansion mechanism was seen in 2.9 %. The rate of non-union and infection following expandable nailing was 3.1 and 1.4 %, respectively. Despite promising initial results, there remains a paucity of good quality studies to support the use of expandable nails over interlocked nails for the treatment of acute diaphyseal fractures of the lower limb.
Item Type: | Article |
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Additional Information: | © The Author(s) 2013. Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) |
Journal or Publication Title: | Strategies Trauma Limb Reconstr |
ISSN: | 1828-8936 |
Language: | eng |
Publisher License: | Creative Commons: Attribution 4.0 |
PubMed ID: | 23475316 |
Go to PubMed abstract | |
URI: | https://openaccess.sgul.ac.uk/id/eprint/113145 |
Publisher's version: | https://doi.org/10.1007/s11751-013-0156-9 |
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