Complications of nailing in closed tibial fractures

Journal of Orthopaedic Trauma
J WilliamsP Worlock

Abstract

Reamed intramedullary nailing was used to treat 102 closed tibial shaft fractures. Although a high rate of union was achieved (98%), we noted a higher incidence of complications than previously reported. Thirty-five (37%) patients exhibited one or more components of malunion. In 17 (18%) patients, further operative procedures were required to achieve union or to correct malalignment. New, postoperative peroneal nerve lesions were found in 19 (19%) patients, of which four (4%) failed to resolve. Acute compartment syndrome, requiring fasciotomy, developed in seven (7%) cases after surgery. Two patients developed an atrophic nonunion. In spite of these complications, the overall results were good and we continue to recommend this method of treatment for the displaced, unstable tibial shaft fracture.

Citations

Nov 25, 2006·Archives of Orthopaedic and Trauma Surgery·Georgios I DrososKonstantinos I Kazakos
Apr 16, 2002·The British Journal of Surgery·A TiwariG Hamilton
Mar 21, 1998·Journal of Orthopaedic Trauma·C RobertsD Seligson
Aug 13, 2002·Journal of Orthopaedic Trauma·Michael BoucherMohit Bhandari
Nov 6, 2003·Journal of Orthopaedic Trauma·Christopher M BonoFred F Behrens
Aug 2, 2005·Journal of Orthopaedic Trauma·Brad PetrisorCharles M Court-Brown
Mar 23, 2012·Journal of Orthopaedic Trauma·Frank A LiporaceRichard S Yoon
Jun 22, 2012·Indian Journal of Orthopaedics·Adel Ebrahimpour JafarinejadNima Ghomeishi
Aug 8, 2014·Archives of Orthopaedic and Trauma Surgery·Ferhat Say, Murat Bülbül
Oct 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M M McQueen, A D Duckworth
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Varatharaj Mounasamy, Pingal Desai
Nov 11, 2011·Injury·S D S NewmanS Krikler
Feb 8, 2002·The Orthopedic Clinics of North America·Bruce French, Paul Tornetta
Dec 6, 2017·JBJS Reviews·Andrew D Duckworth, Margaret M McQueen
Aug 23, 2008·Clinical Orthopaedics and Related Research·Augusto Sarmiento, Loren L Latta
Sep 13, 2006·Clinical Orthopaedics and Related Research·Peleg Ben-GalimEly L Steinberg
Sep 21, 2011·Clinical Orthopaedics and Related Research·P Maxwell CourtneyJaimo Ahn
May 25, 2002·Orthopaedic Nursing·C Harvey
Nov 30, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Saeed AsadollahiPatsy L Robertson
Nov 10, 2004·Clinical Orthopaedics and Related Research·Augusto Sarmiento, Loren L Latta
Nov 14, 2007·The Journal of Bone and Joint Surgery. British Volume·B G JonesD Young
Jan 26, 1999·Clinical Orthopaedics and Related Research·J F Connolly
Feb 9, 2017·Journal of Orthopaedic Surgery·Nathan J FanterChristopher W Beiser
Sep 14, 2018·Case Reports in Orthopedics·Kyohei TakaseTakahiro Niikura
May 30, 2021·Journal of Orthopaedic Trauma·Henrik EckardtKarl Stoffel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.