PMID: 9186202Jun 1, 1997Paper

Decision making errors in the use of interlocking tibial nails

Clinical Orthopaedics and Related Research
D TemplemanR Kyle

Abstract

Seventy-one fractures of the tibial shaft were treated with interlocking intramedullary nails. None of the fractures were treated with static locking of the intramedullary nails. These 71 fractures were studied to determine whether certain fracture patterns are prone to loss of alignment when static interlocking is not used. Loss of alignment was defined as shortening of 1 cm or more and/or change in angulation of at least 5 degrees. Loss of alignment occurred in eight of the 71 (11%) fractures. Shortening and/or angulation occurred in seven of 22 spiral and short oblique fractures, and in none of 27 transverse fracture patterns. It was concluded that the dynamically locked and nonlocked modes of intramedullary nailing should not be used in the stabilization of spiral and oblique fractures of the tibial shaft.

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Citations

Jun 26, 2001·The Journal of the American Academy of Orthopaedic Surgeons·C M BonoF F Behrens
Jun 10, 2006·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Ali DjahangiriElyazid Mouhsine
Dec 31, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Christopher LeeJason W Nascone
Mar 25, 2006·Journal of Pediatric Orthopedics·Mohammed J Al-Sayyad
Oct 12, 2010·Journal of Orthopaedic Trauma·Jonathan EastmanMark Lee
Nov 1, 2011·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Firooz MadadiMehdi Nasri Lari
Mar 22, 2016·Journal of Pediatric Orthopedics. Part B·Barakat El-AlfySallam I Fawzy
Nov 5, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Timothy G HiestermanPeter A Cole

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