The functional results of tibial shaft fractures treated with intramedullary nail compressed by proximal tube

Strategies in Trauma and Limb Reconstruction
Ahmet Adnan KaraarslanErhan Sesli

Abstract

Nailing of tibial shaft fractures is considered the gold standard surgical method by many surgeons. The aim of this retrospective study was to investigate and compare the clinical outcome of tibial shaft fractures treated with intramedullary nails compressed by proximal tube and conventional intramedullary interlocking nails. Fifty-seven patients with tibial shaft fractures, treated with intramedullary nails compressed by proximal tube (n = 32) and the conventional interlocking nails (n = 25), were reviewed. All fractures except for one were united without any additional surgical intervention in the proximal compression tube nail group, whereas in the conventional interlocking nail group, six patients needed dynamization surgery (p = 0.005) and three cases of nonunion were recorded. In the proximal compression tube nail group, faster union occurred in 20 ± 2 (16-24) weeks (mean ± SD; range) without failure of locking screws and proximal nail migration, whereas in the conventional interlocking nail group, union occurred in 22 ± 2.5 (17-27) weeks (p = 0.001) with two failures of locking screws and two proximal nail migration. The proximal compression tube nail system is safer than the conventional nailing methods for the treatmen...Continue Reading

References

May 1, 1996·Injury·U W BoenischS F Journeaux
Jun 12, 2003·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Petra KleinGeorg N Duda
Jan 26, 2007·Clinical Biomechanics·Nicholas A T BrownPeter M Stevens
May 18, 2010·Archives of Orthopaedic and Trauma Surgery·Paul FentonDavid Potter
Feb 28, 2013·Eklem hastalıkları ve cerrahisi = Joint diseases & related surgery·Cavit Sertaç SaruhanKıvanç Budak

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