{"title":"技术文章:胫骨近端半钉短段置入。","authors":"James W Fletcher, Stephen R Mitchell","doi":"10.5005/jp-journals-10080-1625","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim and objective: </strong>Proximal tibial fixation of hexapod frame rings can be challenging due to a balance between concerns about the available space to provide adequate ring stability against the desire for proximal placement of corticotomies to aid regenerate formation. The aim of this study was to describe and analyse our technique for short-segment, three half-pin placement.</p><p><strong>Materials and methods: </strong>We describe a novel method of orientation and placement of half-pins to enable repeatable placement of three 6 mm pins within only 18 mm of tibia. Patients who received this configuration of half-pins over a 12-month period were identified from our institution database and analysed for complications defined as peri-implant fractures, clinically detected pin site loosening, septic arthritis, or revision surgery due to proximal pin sites.</p><p><strong>Results: </strong>We identified 26 patients who received this configuration of proximal half-pins, average age of 45 (range 24-80) with no complications reported as per our definition.</p><p><strong>Conclusion: </strong>This configuration of proximal half-pins provides excellent fixation in the minimum amount of bone possible, providing sufficient proximal tibial space for high corticotomies.Level of evidence: III - Retrospective case series.</p><p><strong>How to cite this article: </strong>Fletcher JW, Mitchell SR. Technical Article: Short-segment Placement of Proximal Tibial Half-pins. Strategies Trauma Limb Reconstr 2024;19(3):161-163.</p>","PeriodicalId":21979,"journal":{"name":"Strategies in Trauma and Limb Reconstruction","volume":"19 3","pages":"161-163"},"PeriodicalIF":1.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982905/pdf/","citationCount":"0","resultStr":"{\"title\":\"Technical Article: Short-segment Placement of Proximal Tibial Half-pins.\",\"authors\":\"James W Fletcher, Stephen R Mitchell\",\"doi\":\"10.5005/jp-journals-10080-1625\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim and objective: </strong>Proximal tibial fixation of hexapod frame rings can be challenging due to a balance between concerns about the available space to provide adequate ring stability against the desire for proximal placement of corticotomies to aid regenerate formation. The aim of this study was to describe and analyse our technique for short-segment, three half-pin placement.</p><p><strong>Materials and methods: </strong>We describe a novel method of orientation and placement of half-pins to enable repeatable placement of three 6 mm pins within only 18 mm of tibia. Patients who received this configuration of half-pins over a 12-month period were identified from our institution database and analysed for complications defined as peri-implant fractures, clinically detected pin site loosening, septic arthritis, or revision surgery due to proximal pin sites.</p><p><strong>Results: </strong>We identified 26 patients who received this configuration of proximal half-pins, average age of 45 (range 24-80) with no complications reported as per our definition.</p><p><strong>Conclusion: </strong>This configuration of proximal half-pins provides excellent fixation in the minimum amount of bone possible, providing sufficient proximal tibial space for high corticotomies.Level of evidence: III - Retrospective case series.</p><p><strong>How to cite this article: </strong>Fletcher JW, Mitchell SR. Technical Article: Short-segment Placement of Proximal Tibial Half-pins. Strategies Trauma Limb Reconstr 2024;19(3):161-163.</p>\",\"PeriodicalId\":21979,\"journal\":{\"name\":\"Strategies in Trauma and Limb Reconstruction\",\"volume\":\"19 3\",\"pages\":\"161-163\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982905/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Strategies in Trauma and Limb Reconstruction\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5005/jp-journals-10080-1625\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Strategies in Trauma and Limb Reconstruction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10080-1625","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Technical Article: Short-segment Placement of Proximal Tibial Half-pins.
Aim and objective: Proximal tibial fixation of hexapod frame rings can be challenging due to a balance between concerns about the available space to provide adequate ring stability against the desire for proximal placement of corticotomies to aid regenerate formation. The aim of this study was to describe and analyse our technique for short-segment, three half-pin placement.
Materials and methods: We describe a novel method of orientation and placement of half-pins to enable repeatable placement of three 6 mm pins within only 18 mm of tibia. Patients who received this configuration of half-pins over a 12-month period were identified from our institution database and analysed for complications defined as peri-implant fractures, clinically detected pin site loosening, septic arthritis, or revision surgery due to proximal pin sites.
Results: We identified 26 patients who received this configuration of proximal half-pins, average age of 45 (range 24-80) with no complications reported as per our definition.
Conclusion: This configuration of proximal half-pins provides excellent fixation in the minimum amount of bone possible, providing sufficient proximal tibial space for high corticotomies.Level of evidence: III - Retrospective case series.
How to cite this article: Fletcher JW, Mitchell SR. Technical Article: Short-segment Placement of Proximal Tibial Half-pins. Strategies Trauma Limb Reconstr 2024;19(3):161-163.
期刊介绍:
Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.