Pre Operative Determination of Intramedullary Nail Size in Tibia and Femur by Anthropometric Measurements

Prem Kumar, K (2020) Pre Operative Determination of Intramedullary Nail Size in Tibia and Femur by Anthropometric Measurements. Masters thesis, Madras Medical College, Chennai.

[img]
Preview
Text
220200120premkumar.pdf

Download (3MB) | Preview

Abstract

INTRODUCTION: Intramedullary (IM) nails are the most commonly used method for stabilisation in the treatment of unstable acute tibia and femur fracture. The choice of the correct nail size is very important for acceptable outcomes. The intraoperative approaches include the two-guide wires technique, nail-against-limb performance and using a radiographic ruler. The preoperative radiological methods described are krammer splint technique, templating, scanograms, spotograms and Direct measurement from radiographs of the contralateral limb. The assessment of accurate size of preoperative nail has the prospective to decrease the intra-operative errors, operative time and radiation exposure. OBJECTIVES: To determine the correlation between anthropometric measurements and intramedullary nail size to avoid improper nail Selection in Femur and Tibia Fractures. METHODOLOGY: This study was done among the 100 Patients (in each group) undergoing nailing procedure for Tibial and femur diaphyseal fractures, admitted in Institute of Orthopaedics & Traumatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai-3. Patients were admitted and anthropometric measurements were obtained, Intramedullary nail size measured during operative procedure. Statistical analysis were done. RESULTS: Significant correlation between Femur intraoperative nail size and the variables were obtained with strength of correlation is maximum for Greater Trochanter to proximal pole of Patella, followed by Tip of Olecranon to tip of little finger and Greater Trochanter to lateral Knee joint line. Out of all these anthropometric parameters, Greater Trochanter to proximal pole of Patella predicts the nail size accurately. Significant correlation between Tibial intra operative nail size and the variables were obtained with strength of correlation is maximum for Tibial tuberosity to Medial Malleolus, followed by Tibial tuberosity to Ankle Joint Line, Medial Knee Joint Line to Ankle Joint Line, Medial Knee Joint Line to Medial Malleolus and Tip of Olecranon to fifth Meta carpal Head. Out of all these anthropometric parameters, Tibial tuberosity to Medial Malleolus predicts the size accurately. CONCLUSION: The Greater Trochanter to proximal pole of Patella and Tip of Olecranon to tip of little finger can be used in predicting the Femur intra operative nail size. Tibial tuberosity to Medial Malleolus and Tibial tuberosity to Ankle joint line can be used in predicting the Tibial intraoperative nail size. These anthropometric measurements are easy, fast and accurate method of preoperative planning for the prediction of intra operative nail size.

Item Type: Thesis (Masters)
Additional Information: 221712007
Uncontrolled Keywords: Preoperative Determination, Intramedullary Nail Size, Tibia and Femur, Anthropometric Measurements.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 13 Feb 2021 12:46
Last Modified: 13 Feb 2021 12:46
URI: http://repository-tnmgrmu.ac.in/id/eprint/14092

Actions (login required)

View Item View Item