tibia nail low cost modified kuntscher daga solapur

  1. Dynamic osteosynthesis by modified Kuntscher nail for the treatment of tibial diaphyseal fractures 
    1. Wasudeo M Gadegone and Yogesh S Salphale
    2. . 2009 Apr-Jun; 43(2): 182–188. doi: 10.4103/0019-5413.48824
      Twelve cases resulted in acceptable malalignment due to operative technical error.
  2.  Entry 60 % from medial side plateau and 20 mm posterior ot tibial tubercle 
    1. The bony anatomy of Asians differs from that of western populations in both size and morphology such as the coronal plane of proximal tibia is more varus and the angle between the anterior shaft of the tibia and the slope of the tibial plateau in the sagittal plane is higher in Asians [9,10]. These affect the accuracy of the entry point of tibial SIGN nail.
    2. https://www.hilarispublisher.com/open-access/accurate-entry-point-for-tibial-nailing-with-sign-nail-in-asians-a-cadaveric-study-2167-1222.1000135.pdf 
  3.  ender nail for 500 patient - 85 % good result  = avoid in some cses eg spiral etc
    1. http://www.afrjtrauma.com/article.asp?issn=1597-1112;year=2017;volume=6;issue=1;spage=1;epage=5;aulast=Gowtham
  4. distal locking - - jog made wit drill and another nail 
    1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461770/  
    2.  . 2012 Jan-Jun; 4(1): 15–18.  PMCID: PMC3461770
      doi: 10.4103/2006-8808.100346   PMID: 23066456 
      Radiation-free Insertion of Distal Interlocking Screw in Tibial and Femur Nailing: A Simple Technique
      Ritesh Kumar Soni, Surender Mohan Mehta, Bhanu Awasthi, Janith Lal Singh,1 Amit Kumar,2 Lokesh Thakur, and Sujit Kumar Tripathy1 
  5.  https://www.ncbi.nlm.nih.gov/pubmed/20209393
    1.   2010 Jan;16(1):33-7.
      Single or double distal locking in intramedullary nailing of tibial shaft fractures: a prospective randomized study.
      Hapa O1, Muratli HH, Yüksel HY, Celebi L, Doğruyol D, Biçimoğlu A.
    2.  CONCLUSION: For non-complex, closed or grade 1 open tibial shaft fractures, locking of an intra-medullary nail with a single distal screw is safe, and may help to decrease operation time and radiation exposure.
  6.  https://www.ncbi.nlm.nih.gov/pubmed/10422132
    1.   1999 Jun;85(3):267-76.[Elastic intramedullary nailing of the tibia with the Marchetti-Vicenzi nail. 43 treated cases]. [Article in French]
      Benmansour MB1, Gottin M, Rouvillain JL, Larosa G, Dib C, Dintimille H, Catonné Y.
    2.  We believe that Universal Elastic Bundle Nail allows a stable and safety fixation in open or closed tibial fractures without pseudarthrosis and without infection (in our series).
    3.  NO NEED FOR DISTAL LOCKING
    4. union time 90 days 
  7. anterior knee pain prevention 
    1. 5.5 mm from plateau an 2.5 mm deep to tuberosity tibia
    2.  We presume that a position of the proximal tip of the nail and its negative influence on the innervation pattern of the area dorsal to the patellar tendon could be the key factor of AKP. We conclude that the symptoms of AKP will not appear if the tip of the nail position shall be more than 5.5 mm from the tibial plateau (NP) and more than 2.5 mm from the tuberositas tibiae (NT).
      We consider the medial paratendinous incision is a good approach for nailing tibial fractures. We emphasise that special care should be taken not to damage the patellar tendon or its sheath. Therefore, the use of protective sleeves and a trocar is recommended.
    3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728407/
    4.  . 2013 Aug; 37(8): 1527–1531. PMCID: PMC3728407 PMID: 23754779
      Published online 2013 Jun 11. doi: 10.1007/s00264-013-1944-z
      Precise nail tip positioning after tibial intramedullary nailing prevents anterior knee painNikica Daraboš,corresponding author Tihomir Banić, Zvonimir Lubina, Anela Daraboš, Vide Bilić, and Srećko Sabalić
    5.  
  8.  According to our study, although the patellar tendon shortened significantly on the affected side compared with the contralateral side, these measurements did not correlate with the presence or absence of pain. AKP and functional knee scores after tibia IM nailing using a transtendinous approach were not associated with nail position in relation to the anterior tibial cortex or tibial plateau.
    2017 Jan;27(1):133-139. doi: 10.1007/s00590-016-1856-x. Epub 2016 Sep 22.Influence of sagittal plane malpositioning of the patella on anterior knee pain after tibia intramedullary nailing.
    Turkmen I1, Saglam Y2, Turkmensoy F3, Kemah B3, Kara A4, Unay K3.
    https://www.ncbi.nlm.nih.gov/pubmed/27659171


    1.  aa a

Popular posts from this blog

corona virus 3d print  - mask and filter for less than $ 15 make your own mask  3d print fda allows for corona virus only see video made by doctor open source  https://kicks1055.com/one-connecticut-doctor-is-saving-lives-with-3d-printed-face-masks/  
Read more
machine learning ECG andrew ng = machines learn to read ECG https://www.technologyreview.com/2017/07/07/4391/the-machines-are-getting-ready-to-play-doctor/ The researchers partnered with iRhythm , a company that makes portable ECG devices. They collected 30,000 30-second clips from patients with different forms of arrhythmia. To assess the accuracy of their algorithm, the team compared its performance to that of five different cardiologists on 300 undiagnosed clips. They had a panel of three expert cardiologists provide a ground-truth judgment. irhythm ecg  https://www.irhythmtech.com/products-services/zio-xt Uninterrupted, comprehensive monitoring and easy EKG interpretation helps you find answers in a single test and provide superior clinical service to your patients. https://www.irhythmtech.com/products-services/zio-at PATIENT-FRIENDLY DESIGN MINIMIZES DISRUPTION AND MAXIMIZES COMPLIANCE Our comfortable, effortless monitoring experience drives 98% patient comp...
Read more