Is it safe to place a tibial intramedullary nail through a traumatic knee arthrotomy?

Jennifer M. Bauer, Jesse E. Bible, Hassan R. Mir

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We conducted a study to compare postoperative infection and nonunion rates in tibial intramedullary nails (IMNs) placed through either uninjured knees or traumatic knee arthrotomies (KAs). We reviewed all adult tibial diaphyseal fractures (n = 1378) treated with an IMN between 1998 and 2010. Fourteen of these nails were placed through a traumatic KA. Each patient in the study group was assigned 4 separate matched controls for comparison. Controls were matched on age, sex, diabetes, smoking, and fracture classification (closed or open with Gustilo-Anderson). There were no postoperative infections (knee or fracture site) in the traumatic KA group and 2 (3.5%) in the control group (P = .473). One nonunion (7.1%) was noted in the traumatic KA group, and 9 (16%) were noted in the control group (P = .6694). To our knowledge, this is the first study to report outcomes of placing tibial IMNs through traumatic KAs. In our sample, the practice presented no increased risk either for infection (at the knee or the fracture site) or for nonunion with appropriate surgical debridement.

Original languageEnglish (US)
Pages (from-to)118-121
Number of pages4
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume43
Issue number3
StatePublished - Mar 2014

Fingerprint

Nails
Knee
Infection
Closed Fractures
Control Groups
Tibial Fractures
Open Fractures
Debridement
Smoking

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{430876d4bf53498abfa04ac2cecec422,
title = "Is it safe to place a tibial intramedullary nail through a traumatic knee arthrotomy?",
abstract = "We conducted a study to compare postoperative infection and nonunion rates in tibial intramedullary nails (IMNs) placed through either uninjured knees or traumatic knee arthrotomies (KAs). We reviewed all adult tibial diaphyseal fractures (n = 1378) treated with an IMN between 1998 and 2010. Fourteen of these nails were placed through a traumatic KA. Each patient in the study group was assigned 4 separate matched controls for comparison. Controls were matched on age, sex, diabetes, smoking, and fracture classification (closed or open with Gustilo-Anderson). There were no postoperative infections (knee or fracture site) in the traumatic KA group and 2 (3.5{\%}) in the control group (P = .473). One nonunion (7.1{\%}) was noted in the traumatic KA group, and 9 (16{\%}) were noted in the control group (P = .6694). To our knowledge, this is the first study to report outcomes of placing tibial IMNs through traumatic KAs. In our sample, the practice presented no increased risk either for infection (at the knee or the fracture site) or for nonunion with appropriate surgical debridement.",
author = "Bauer, {Jennifer M.} and Bible, {Jesse E.} and Mir, {Hassan R.}",
year = "2014",
month = "3",
language = "English (US)",
volume = "43",
pages = "118--121",
journal = "American Journal of Orthopedics",
issn = "1078-4519",
publisher = "Quadrant Healthcom Inc.",
number = "3",

}

Is it safe to place a tibial intramedullary nail through a traumatic knee arthrotomy? / Bauer, Jennifer M.; Bible, Jesse E.; Mir, Hassan R.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 43, No. 3, 03.2014, p. 118-121.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Is it safe to place a tibial intramedullary nail through a traumatic knee arthrotomy?

AU - Bauer, Jennifer M.

AU - Bible, Jesse E.

AU - Mir, Hassan R.

PY - 2014/3

Y1 - 2014/3

N2 - We conducted a study to compare postoperative infection and nonunion rates in tibial intramedullary nails (IMNs) placed through either uninjured knees or traumatic knee arthrotomies (KAs). We reviewed all adult tibial diaphyseal fractures (n = 1378) treated with an IMN between 1998 and 2010. Fourteen of these nails were placed through a traumatic KA. Each patient in the study group was assigned 4 separate matched controls for comparison. Controls were matched on age, sex, diabetes, smoking, and fracture classification (closed or open with Gustilo-Anderson). There were no postoperative infections (knee or fracture site) in the traumatic KA group and 2 (3.5%) in the control group (P = .473). One nonunion (7.1%) was noted in the traumatic KA group, and 9 (16%) were noted in the control group (P = .6694). To our knowledge, this is the first study to report outcomes of placing tibial IMNs through traumatic KAs. In our sample, the practice presented no increased risk either for infection (at the knee or the fracture site) or for nonunion with appropriate surgical debridement.

AB - We conducted a study to compare postoperative infection and nonunion rates in tibial intramedullary nails (IMNs) placed through either uninjured knees or traumatic knee arthrotomies (KAs). We reviewed all adult tibial diaphyseal fractures (n = 1378) treated with an IMN between 1998 and 2010. Fourteen of these nails were placed through a traumatic KA. Each patient in the study group was assigned 4 separate matched controls for comparison. Controls were matched on age, sex, diabetes, smoking, and fracture classification (closed or open with Gustilo-Anderson). There were no postoperative infections (knee or fracture site) in the traumatic KA group and 2 (3.5%) in the control group (P = .473). One nonunion (7.1%) was noted in the traumatic KA group, and 9 (16%) were noted in the control group (P = .6694). To our knowledge, this is the first study to report outcomes of placing tibial IMNs through traumatic KAs. In our sample, the practice presented no increased risk either for infection (at the knee or the fracture site) or for nonunion with appropriate surgical debridement.

UR - http://www.scopus.com/inward/record.url?scp=84910138575&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84910138575&partnerID=8YFLogxK

M3 - Article

C2 - 24660176

AN - SCOPUS:84910138575

VL - 43

SP - 118

EP - 121

JO - American Journal of Orthopedics

JF - American Journal of Orthopedics

SN - 1078-4519

IS - 3

ER -