PMID- 27321295
OWN - NLM
STAT- MEDLINE
DCOM- 20170509
LR  - 20220408
IS  - 1008-1275 (Print)
IS  - 1008-1275 (Linking)
VI  - 19
IP  - 3
DP  - 2016 Jun 1
TI  - Preoperative determination of tibial nail length: An anthropometric study.
PG  - 151-5
AB  - OBJECTIVE: To assess the correlation between five anthropometric parameters and 
      the distance from tibial tuberosity to medial malleolus in 100 volunteers. 
      METHODS: Six anthropometric parameters were measured in 50 male and 50 female 
      medical students using a metallic scale: medial knee joint line to ankle joint 
      line (K-A), medial knee joint line to medial malleolus (K-MM), tibial tuberosity 
      to ankle joint (TT-A), tibial tuberosity to medial malleolus (TT- MM), olecranon 
      to 5th metacarpal head (O-MH) and body height (BH). Nail size predicted based 
      upon TT-MM measurement was chosen as ideal nail size. A constant was derived for 
      each of the six anthropometric parameters which was either added or subtracted to 
      each measurement to derive nail size. A regression equation was applied to BH 
      measurements. Nail sizes calculated were compared with that obtained from TT-MM 
      measurement and accuracy was evaluated. Accuracy of O-MH and BH regression 
      equations recommended by other authors were calculated in our data. RESULTS: 
      Adding 11 mm to TT-A distance had highest accuracy (81%) and correlation (0.966) 
      in predicting nails correctly. Subtracting 33 mm from K-MM measurement and 25 mm 
      from K-A distance derived accurate sizes in 69% and 76% respectively. Adding 6 mm 
      to O-MH distance had a poor accuracy of 51%. Nail size prediction based upon body 
      height regression equation derived correct nail sizes in only 34% of the cases. 
      Regression equation analysis by other authors based on O-MH and BH distances 
      yielded correct sizes in 11% and 5% of the cases respectively. CONCLUSION: TT-A, 
      K-A and K-MM measurements can be used simultaneously to increase accuracy of nail 
      size prediction. This method would be helpful in determining nail size 
      preoperatively especially when one anatomic landmark is difficult to palpate.
FAU - Issac, Renjit-Thomas
AU  - Issac RT
AD  - Department of Orthopaedics, Malankara Orthodox Syrian Church Medical College, 
      Kolenchery, Kochi, Kerala 682311, India.
FAU - Gopalan, Hitesh
AU  - Gopalan H
FAU - Abraham, Mathew
AU  - Abraham M
FAU - John, Cherian
AU  - John C
FAU - Issac, Sujith-Mathew
AU  - Issac SM
FAU - Jacob, Diju
AU  - Jacob D
LA  - eng
PT  - Journal Article
PL  - China
TA  - Chin J Traumatol
JT  - Chinese journal of traumatology = Zhonghua chuang shang za zhi
JID - 100886162
SB  - IM
MH  - Adult
MH  - Anthropometry
MH  - Body Height
MH  - *Bone Nails
MH  - Female
MH  - Fracture Fixation, Intramedullary/*instrumentation
MH  - Humans
MH  - Male
MH  - *Preoperative Care
MH  - Tibial Fractures/*surgery
PMC - PMC4908232
EDAT- 2016/06/21 06:00
MHDA- 2017/05/10 06:00
PMCR- 2016/04/06
CRDT- 2016/06/21 06:00
PHST- 2016/06/21 06:00 [entrez]
PHST- 2016/06/21 06:00 [pubmed]
PHST- 2017/05/10 06:00 [medline]
PHST- 2016/04/06 00:00 [pmc-release]
AID - S1008-1275(16)30098-0 [pii]
AID - 10.1016/j.cjtee.2016.03.003 [doi]
PST - ppublish
SO  - Chin J Traumatol. 2016 Jun 1;19(3):151-5. doi: 10.1016/j.cjtee.2016.03.003.