To investigate whether fractures categorized as diaphyseal according to the AO-PCCF but considered to lie within the DMJZ as defined by an FFI between 1 and 2 can be stabilized with conventional ESIN technique and to compare outcomes with TEPIK fixation.
Approach:
Surgical Techniques: Comparison of outcomes between conventional ESIN and TEPIK fixation in treating DMRF+.
Key Findings:
Of 516 DMRF identified, 75 patients met inclusion criteria, with 11 DMRF+ included in the analysis.
ESIN reduced angulation in the lateral radiograph from 37° to 3° (p = 0.0032).
TEPIK reduced angulation in the lateral radiograph from 17° to 1° (p = 0.048).
One patient treated with ESIN developed a pseudarthrosis.
Interpretation:
The study provides insights into the effectiveness of ESIN and TEPIK in treating DMRF+ fractures, highlighting differences in radiographic outcomes.
Limitations:
Small sample size of 11 DMRF+ cases.
Retrospective nature may introduce bias.
Lack of randomization in surgical technique selection.
Conclusion:
The findings suggest that both ESIN and TEPIK can be effective in managing DMRF+, but further studies are needed to validate these results.
