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May 27, 2026D Y Patil Journal of Health SciencesOpen Access

Role of Poller Screw in Distal Tibia Fracture Treated with Nailing: A Narrative Review

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Authors

SKSachin KaleApollo HospitalsASAbhilash SrivastavaApollo HospitalsGKGaurav KanadeApollo Hospitals

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Implication

Narrative review finds poller screws improve alignment and healing in distal tibia fractures with nailing.

Key Points

  • This review aims to assess the effectiveness of poller screws in treating distal tibia fractures with intramedullary nailing.
  • Comprehensive systematic review of PubMed, Scopus, and Google Scholar.
  • Inclusion of adult clinical studies, biomechanical experiments, and systematic reviews.
  • Total of thirty-five studies reviewed, including randomized controlled trials and biomechanical models.
  • Poller screws significantly increase axial and torsional stiffness (p<0.01) and reduce interfragmentary motion.
  • Clinical studies show improved alignment and higher union rates, with reduced reoperation rates.
  • Systematic reviews report low complication rates and faster healing due to poller screw utilization.

Cite This Study

Kale et al. (2026) studied this question.

synapsesocial.com/papers/6a1689a80c924ddd1bd58481https://doi.org/10.4103/dypj.dypj_74_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails1999 · 144 citations
  2. 2Intramedullary Nailing of Distal Metaphyseal Tibial Fractures2005 · 271 citations
  3. 3Treatment of Distal Tibia Fractures Without Articular Involvement: A Systematic Review of 1125 Fractures2006 · 250 citations
  4. 4Radiographic and Clinical Comparisons of Distal Tibia Shaft Fractures (4 to 11 cm Proximal to the Plafond): Plating Versus Intramedullary Nailing2008 · 263 citations
  5. 5The epidemiology of tibial fractures1995 · 398 citations