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Corresponding Author

Ahmed Elsaed Ragab Zaher

Document Type

Original Article

Abstract

Background: Non-united proximal tibial fractures following intramedullary nail (IMN) fixation pose a challenging clinical scenario. The choice between exchange nailing (ERN) and plate fixation as a salvage procedure for these fractures requires careful consideration.

Aim and Objective: To evaluate the surgical outcomes between ERN versus AAP for non-united proximal tibial fractures after fixation by IMN.

Patients and methods: This research included 20 patients with non-united proximal tibial fractures, managed with intramedullary nails, at Al-Azhar University Hospitals. Patients were split into Group A (ERN) and Group B (AAP).

Results: The demographic information revealed no discernible variations in the age, gender distribution, affected side, or length of hospital stay between the two groups. Both groups' non-union was due to comparable reasons. With no statistically substantial variations between the ERN and AAP groups, the union was accomplished in every instance in a mean time of 14.3 ±1.7 weeks. In all groups, postoperative problems, including infection and discomfort, were well handled. According to radiological analyses, the two treatment modalities did not significantly vary in tibial alignment or range of motion.

Conclusion: This study demonstrates that ERN and AAP are effective surgical options for managing non-united proximal tibial fractures following IMN fixation. The choice between ERN and AAP should be based on individual patient factors and surgeon preference, as both approaches can yield favorable results.

Keywords

NonIntramedullary Nail Fixation; Exchange Nailing; Augmentative Anti-Rotational Plating; Surgical Outcomes; Fracture Healing

Subject Area

Orthopedics

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