Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center
Background: Plafond fractures and distal tibia fractures, especially those resulting from high-energy injury, are often complicated by soft tissue injury and open injuries. They are usually managed in a staged fashion with primary external fixation followed by internal fixation. From prolonged exter...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2025-07-01
|
| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1205 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849236132264411136 |
|---|---|
| author | Sudipta Samanta Soumyadeep D Roy |
| author_facet | Sudipta Samanta Soumyadeep D Roy |
| author_sort | Sudipta Samanta |
| collection | DOAJ |
| description | Background: Plafond fractures and distal tibia fractures, especially those resulting from high-energy injury, are often complicated by soft tissue injury and open injuries. They are usually managed in a staged fashion with primary external fixation followed by internal fixation. From prolonged external fixation in anticipation of soft tissue healing, the patients end up with a near-stiff ankle joint and multiple failed attempts at union. Hindfoot nail (HFN) attempts to allow early mobilization of these patients by sound arthrodesis of the near-stiff ankle joint, and the study aims to evaluate the patients in terms of outcome.
Materials and methods: This is a prospective study conducted on 30 subjects with old distal tibia and/or plafond fractures over a period of 2 years, and the study subjects were compared in terms of preoperative and postoperative functional, clinical, and radiological parameters.
Results: The mean age of our study population was 70 years, with equal male and female distribution (1:1). The mean duration from index injury to HFN was 8.7 months. Statistically significant improvement in the modified Olerud-Molander Ankle Score (mOMAS) was observed when compared preoperatively to 1-month and 6-month follow-up (10.33 ± 7.65 vs 56.5 ± 9.84 vs 73.46 ± 5.43, respectively). The mean limb length discrepancy was 2.71 ± 1.34 cm. A total of 80% of subjects achieved sound arthrodesis of the ankle at the 6th postoperative month.
Conclusion: HFN is an effective treatment option. |
| format | Article |
| id | doaj-art-5d8e1044bbf34439b043950fb93e8ba0 |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-5d8e1044bbf34439b043950fb93e8ba02025-08-20T04:02:27ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-07-017228228910.5005/jojs-10079-120521Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care CenterSudipta Samanta0https://orcid.org/0000-0001-8956-5275Soumyadeep D Roy1https://orcid.org/0000-0001-9201-8432Sudipta Samanta, Department of Orthopedics, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India, Phone: +91 9477328634Department of Orthopedics, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, IndiaBackground: Plafond fractures and distal tibia fractures, especially those resulting from high-energy injury, are often complicated by soft tissue injury and open injuries. They are usually managed in a staged fashion with primary external fixation followed by internal fixation. From prolonged external fixation in anticipation of soft tissue healing, the patients end up with a near-stiff ankle joint and multiple failed attempts at union. Hindfoot nail (HFN) attempts to allow early mobilization of these patients by sound arthrodesis of the near-stiff ankle joint, and the study aims to evaluate the patients in terms of outcome. Materials and methods: This is a prospective study conducted on 30 subjects with old distal tibia and/or plafond fractures over a period of 2 years, and the study subjects were compared in terms of preoperative and postoperative functional, clinical, and radiological parameters. Results: The mean age of our study population was 70 years, with equal male and female distribution (1:1). The mean duration from index injury to HFN was 8.7 months. Statistically significant improvement in the modified Olerud-Molander Ankle Score (mOMAS) was observed when compared preoperatively to 1-month and 6-month follow-up (10.33 ± 7.65 vs 56.5 ± 9.84 vs 73.46 ± 5.43, respectively). The mean limb length discrepancy was 2.71 ± 1.34 cm. A total of 80% of subjects achieved sound arthrodesis of the ankle at the 6th postoperative month. Conclusion: HFN is an effective treatment option.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1205ankle arthrodesisdistal tibia fractureshindfoot nailnonunionplafond fracture |
| spellingShingle | Sudipta Samanta Soumyadeep D Roy Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center Journal of Orthopedics and Joint Surgery ankle arthrodesis distal tibia fractures hindfoot nail nonunion plafond fracture |
| title | Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center |
| title_full | Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center |
| title_fullStr | Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center |
| title_full_unstemmed | Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center |
| title_short | Outcome of Hindfoot Nail in Old Distal Tibia and Plafond Fractures of Adult Patients in a Tertiary Care Center |
| title_sort | outcome of hindfoot nail in old distal tibia and plafond fractures of adult patients in a tertiary care center |
| topic | ankle arthrodesis distal tibia fractures hindfoot nail nonunion plafond fracture |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1205 |
| work_keys_str_mv | AT sudiptasamanta outcomeofhindfootnailinolddistaltibiaandplafondfracturesofadultpatientsinatertiarycarecenter AT soumyadeepdroy outcomeofhindfootnailinolddistaltibiaandplafondfracturesofadultpatientsinatertiarycarecenter |