Use of Poller Screws in Proximal and Distal Metaphyseal Fractures of Tibia: A Prospective Study | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 238-242 PDF (416.56 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446585 | ||
| Authors | ||
| Essam Talaat Ali Ghazy* ; Ali Mohamed El-Geoushy; Gamal Atia Elsawy | ||
| Department of Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Intramedullary nailing is considered a superior method for treating patients with extra-articular tibial fractures. However, achieving and maintaining control of the distal fragment during the procedure can present significant challenges. The use of Poller screws has been shown to create a stable mechanical environment, thereby facilitating the healing process for acute fractures. Aim of study: To assess the efficacy of intramedullary nailing with the use of poller screws for the treatment of tibial metaphyseal fractures. Patients and methods: This prospective cohort study included 30 patients with displaced proximal or distal tibial metaphyseal fractures. All participants underwent intramedullary nailing enhanced by the application of Poller screws. The follow-up assessment focused on the range of motion in the knee and ankle, time to union, postoperative complications, and overall satisfaction with the treatment outcomes. Results: The age of included patients was 35.5±3.5 years old. Tibial fractures were united in all cases. Knee range of motion was more than 120° in 50%, from 90-120° in 46.6%. The range of ankle plantar flexion was > 30° in 57% and 20-30° in 33.3%. The results were satisfied in the majority of patients. The most observed postoperative complications in were ankle swelling (20%) followed by pain (17%). Conclusion: The incorporation of Poller screws into the intramedullary nailing technique for tibial metaphyseal fractures proved effective in achieving optimal fracture alignment. | ||
| Keywords | ||
| Intramedullary Nailing; Metaphyseal Fractures; Tibia; Poller Screws | ||
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