Retrograde intramedullary titanium elastic nail fixation: An alternative to traditional osteosynthesis surgery for patients with superior pubic ramus fracture
Chih-Yang Lai；Chang-Heng Liu；Yung-Heng Hsu；Wen-Ling Yeh；Ying-Chao Chou；Chi-Chuan Wu；Yi-Hsun Yu
ramus screw ； superior pubic ramus fracture ； titanium elastic nail
Formosan Journal of Musculoskeletal Disorders
|Volume or Term/Year and Month of Publication||
9卷4期（2018 / 11 / 01）
145 - 152
Introduction: Treatments for superior pubic ramus fracture remain controversy. There are several surgical options for patients with superior pubic ramus fractures, including intramedullary screw placement, minimally invasive plate osteosynthesis surgery, and plate-rod system fixation. However, no one has been shown to be superior to another. Purpose: We report the perioperative results and surgical outcomes of patients with superior pubic ramus fracture underwent retrograde intramedullary titanium elastic nail (RITEN) insertion and fixation. Methods: A series of 9 patients with 11 superior pubic rami fractures were treated with this technique in a single institute. The detail of surgical procedure was also described. Results: All fractured superior pubic rami were united in a mean duration of 3.28 months. No perioperative complication was noted among these patients. One loose backward implant was noted 28 days after the index surgery. The backward nail was removed and the fracture was united at 5-month postoperatively. Conclusion: RITEN insertion for superior pubic ramus fracture is a simple surgical treatment as well as an effective treatment for fracture healing.