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Departments of Surgery and Biological & Biomedical Sciences Aga Khan University Karachi Pakistan
10.22038/abjs.2024.79504.3639
Abstract
Objective: To compare the radiological outcomes after fixation of distal tibia fractures with IM nail between patients in whom poller screw was used vs those in whom it was not used.
Material and Methods: A retrospective cohort study was conducted between 1st January 2009 to 31st June 2019 including patients treated with IM nail for distal tibial metaphyseal fractures. Patients were divided into 2 groups based on whether a poller screw was placed during surgery or not. Follow-up x-rays were viewed through our hospital database and fracture healing was classified as either union, malunion or non-union based on radiographic parameters. A Radiographic Union Score in Tibia (RUST) score was calculated and a score of ≥9 was considered conclusive for complete union.
Results: 93 patients were included in the study with 21 patients in the exposed and 72 in the control group. Baseline characteristics for both groups were found to be similar. The exposed group was found to be associated with increased rates of union and decreased non-union and mal-union rates compared to control group (P-value = 0.003). Mean RUST score was also noted to be significantly higher in exposed group compared to control group with a P-value of 0.025.
Conclusion: Use of poller screw with IM nail in treatment of distal tibial fractures is important in improving post-operative outcomes and decreasing mal-union and non-union.
Ahmed, A., Ali, M., Farooq, M. O., Sulaiman, M. A., Ahmad, T., & Rashid, H. (2024). Benefits of Poller Screw in Improving Radiological Outcomes after Intra-Medullary Nailing for Distal Tibia Fractures – A Retrospective Cohort Study. The Archives of Bone and Joint Surgery, (), -. doi: 10.22038/abjs.2024.79504.3639
MLA
Akeel Ahmed; Moiz Ali; Muhammad Omer Farooq; Muhammad Ahsan Sulaiman; Tashfeen Ahmad; Haroon Rashid. "Benefits of Poller Screw in Improving Radiological Outcomes after Intra-Medullary Nailing for Distal Tibia Fractures – A Retrospective Cohort Study", The Archives of Bone and Joint Surgery, , , 2024, -. doi: 10.22038/abjs.2024.79504.3639
HARVARD
Ahmed, A., Ali, M., Farooq, M. O., Sulaiman, M. A., Ahmad, T., Rashid, H. (2024). 'Benefits of Poller Screw in Improving Radiological Outcomes after Intra-Medullary Nailing for Distal Tibia Fractures – A Retrospective Cohort Study', The Archives of Bone and Joint Surgery, (), pp. -. doi: 10.22038/abjs.2024.79504.3639
VANCOUVER
Ahmed, A., Ali, M., Farooq, M. O., Sulaiman, M. A., Ahmad, T., Rashid, H. Benefits of Poller Screw in Improving Radiological Outcomes after Intra-Medullary Nailing for Distal Tibia Fractures – A Retrospective Cohort Study. The Archives of Bone and Joint Surgery, 2024; (): -. doi: 10.22038/abjs.2024.79504.3639
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