Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Intramedullary (IM) fixation, routinely utilized for managing fractures of long bones such as the femur and tibia, is gaining recognition as an effective option for fibular fractures. Although open plating remains standard, IM nailing offers considerable advantages due to its minimally invasive nature and potential for reducing soft tissue complications. This review aims to evaluate current evidence on intramedullary nailing of fibular fractures, focusing on indications, operative techniques and reported clinical outcomes. A detailed narrative review of existing literature was performed, emphasizing recent mechanical testing studies, clinical trials and systematic reviews related to intramedullary fixation of fibular fractures. Indications, surgical technique refinements and outcomes were extracted and summarized. Current evidence indicates intramedullary fixation provides mechanical stability comparable to traditional plating methods, demonstrated through biomechanical testing. Clinical studies reveal similar functional outcomes between IM fixation and standard plating, with significantly lower rates of wound complications and improved soft tissue management, particularly advantageous in geriatric patients and individuals with diabetes or compromised soft tissue envelopes. Intramedullary fixation represents an effective, minimally invasive alternative for fibular fracture management, especially in high‐risk populations. Further prospective studies and randomized trials are recommended to substantiate these findings and refine patient‐selection criteria.
How to cite this article:
Zakir Hussain Mohamed, K.C. Mathew, S. Kavin Raja, S. Madhan Kumar, T.T. Annamalai and G. Rohin. Intramedullary Nailing of Fibular Fractures.
DOI: https://doi.org/10.36478/makrjms.2024.11.609.615
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.609.615