title: Rotational Mal-Alignment after Reamed Intramedullary Nailing for tibial shaft fracture.
abstract: Intra-medullary (IM) nailing is standard of care for unstable tibial shaft fractures. Malrotation is very common but it is under-recognised, inpart because of variation in normal anatomy and partly due to difficulty in accurately assessing rotation. This study was planned to evaluate the frequency of rotational mal-alignment after reamed tibia IMnailing. This cross-sectional study was conducted at Aga khan University Hospital, Karachi, and comprised patients with tibia shaft fractures managed with IMnailing from January to December 2014. All the patients were assessed intra-operatively for rotational alignment using the knee and ankle fluoroscopic images. There were 81 patients with a mean age of 38±16.9 years. There were 64(79%) male patients. Overall the incidence of malrotation was in 20(24.7%) cases. Rotational mal-alignment is one of the preventable complications after IMnailing which can be assesed intra-operatively under fluoroscope.
authors.affiliation: Orthopedics, Aga Khan University Hospital, Karachi.
authors.forename: Sher Baz
authors.initials: SB
authors.lastname: Khan
authors.affiliation: Orthopedics, Aga Khan University Hospital, Karachi.
authors.forename: Yasir
authors.initials: Y
authors.lastname: Mohib
authors.affiliation: Orthopedics, Aga Khan University Hospital, Karachi.
authors.forename: Rizwan Haroon
authors.initials: RH
authors.lastname: Rashid
authors.affiliation: Orthopedics, Aga Khan University Hospital, Karachi.
authors.forename: Haroonur
authors.initials: H
authors.lastname: Rashid
mesh_terms: D000328:Adult; D000843:Ankle Joint; D003430:Cross-Sectional Studies; D005260:Female; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*; D055815:Young Adult
keywords: Tibialshaft fracture, Nailing, Malrotation, Rotational mal-alignment.