Prospective study of the clinico-radiological outcome of interlocked nailing in proximal third tibial shaft fractures

Injury
S Vidyadhara, K Rao Sharath

Abstract

Almost 9% of tibial shaft fractures occur in the proximal third of the bone. In order to address the problems of mal-alignment and late loss of fixation, all the specific surgical techniques described in the literature were used in nailing these fractures in our study. From December 2001 to December 2003, 45 consecutive patients with fracture of the proximal third of the tibial shaft underwent nailing. The clinico-radiological outcome of these cases and the complications encountered were analysed. The average time to knee mobilisation and partial weight-bearing walking was 3.2 days. The fractures had united at an average of 4.3 months. At the last follow up, the average lower extremity functional score was 96%. There were seven cases of malunion (15.56%), with three valgus and four apex anterior angulations. Delayed union necessitated open bone grafting in three cases, at an average of 6.3 months. At 8 months, one patient with delayed union experienced nail breakage across the weakest point, i.e. the dynamic screw hole. He underwent reamed exchange nailing and, 3 months later, the fracture had united. Meticulous intramedullary nailing of fractures of the proximal third of the tibial shaft, using all current surgical principles ...Continue Reading

References

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Citations

Nov 7, 2007·Archives of Orthopaedic and Trauma Surgery·Chang-Wug OhJoo-Chul Ihn
Apr 23, 2014·Journal of Orthopaedic Trauma·Scott P RyanPaul Tornetta
Sep 3, 2011·Journal of Orthopaedic Trauma·Richard M WalkerEmil H Schemitsch
Nov 26, 2013·The Orthopedic Clinics of North America·Daniel J Stinner, Hassan Mir
Oct 5, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Nirmal TejwaniPhilip R Wolinsky
Dec 24, 2019·Journal of Orthopaedic Trauma·David J CinatsDarius Viskontas
Feb 16, 2019·Journal of Orthopaedic Trauma·Razvan NicolescuJames J Hutson
Aug 11, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mandala S LeliveldEsther M M Van Lieshout
Nov 5, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Timothy G HiestermanPeter A Cole
Dec 31, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Christopher LeeJason W Nascone
May 23, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Surasak JitprapaikulsarnWitoon Thremthakanpon

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