Stabilization of Tibial Fractures at Risk of Complications With the Bactiguard Intramedullary Nail: Early to Medium Results With a Novel Metal-Coated Device

Author:

Kotsarinis Georgios1,Wakefield Sophia M.1,Kanakaris Nikolaos K.1,Giannoudis Peter V.12ORCID

Affiliation:

1. Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom; and

2. NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, United Kingdom.

Abstract

Objectives: The purpose of this study was to investigate the safety and early clinical results from the use of a novel, noble metal-coated titanium tibial nail for the definite stabilization of tibial shaft fractures at risk of developing complications. Design: This is a retrospective case series with prospectively collected data. Setting: Level I Trauma Centre in the United Kingdom. Patients and Intervention: Thirty-one patients who were managed with the Bactiguard-coated Natural Nail and achieved a minimum of a 12-month follow-up. Main Outcome Measurements: The main outcomes of this study were the incidence of adverse events (related to implant safety), complications (particularly infection), and reinterventions. Results: Thirty-one patients with a mean age of 41.6 years were included in this study. Active heavy smokers or intravenous drug users were 25.8% and 9.7% of them were diabetic. Five fractures were open while 13 had concomitant soft-tissue involvement (Tscherne grade 1 or 2). Twenty-seven patients healed with no further intervention in a mean time of 3.3 months. Three patients developed nonunion and required further intervention. The overall union rate was 96.7%. One patient developed deep infection after union (infection incidence 3.2%). Six patients (6/31; [19.3%]) required reinterventions [2 for the treatment of nonunion, 3 for removal of screws soft-tissue irritation, and 1 for the management of infection). Conclusions: The management of tibial shaft fractures with a noble metal-coated titanium tibial nail demonstrates encouraging outcomes. Further studies are desirable to gather more evidence in the performance of this innovative implant. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,General Medicine,Surgery

Reference34 articles.

1. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures;Bhandari;J Bone Joint Surg Am,2009

2. Tibial shaft fractures-management and treatment options. A review of the current literature;Bode;Acta Chir Orthop Traumatol Cech,2012

3. Intramedullary nailing for tibial shaft fractures in adults;Duan;Cochrane Database Syst Rev,2012

4. Safe surgical technique: intramedullary nail fixation of tibial shaft fractures;Zelle;Patient Saf Surg,2015

5. Meta-analysis of reamed versus unreamed intramedullary nailing for open tibial fractures;Shao;J Orthop Surg Res,2014

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3