PMID: 1205606Nov 1, 1975Paper

Tibial shaft fractures treated by rigid internal fixation: the early results in a 4-year series

Injury
J ThunoldT Bjerkest

Abstract

Ninety-nine fractures of the shaft of the tibia in 98 patients were treated by rigid internal fixation over 4 years. One patient died after operation from myocardial infarction; and one patient went abroad. The healing course of the remaining 97 fractures is described, classified according to the type of fracture and the accuracy of operative reduction. Seventy-five fractures had a normal time to union, defined as the lasting achievement of full weight-bearing within 4 months. In 7 fractures the healing period was moderately delayed (full weight-bearing being achieved in 4-6 months) and in 5 it was seriously delayed, requiring 6-11 months after injury. Nonunion occurred in 4 cases and refracture in 6 cases. Osteitis developed in 2 cases and was successfully treated with antibiotics within 6 weeks. A second internal fixation was necessary in 12 patients. In 5 patients a plaster cast was applied to treat delayed union. Amputation was necessary in a 75-year-old man with senile dementia who developed infection after a second operation for refracture. One patient still has a pseudarthrosis after 2 years and 2 further operations. In the other 95 fractures union was the end-result. Of the 21 comminuted and open fractures only 13 heale...Continue Reading

References

Jan 1, 1972·Acta Orthopaedica Scandinavica. Supplementum·S Olerud, G Karlström
Jan 1, 1973·Acta Orthopaedica Scandinavica·S Olerud
Oct 1, 1971·Injury·J H Hicks

❮ Previous
Next ❯

Citations

Jan 1, 1992·Archives of Orthopaedic and Trauma Surgery·S B KesslerL Schweiberer
Jan 1, 1988·Archives of Orthopaedic and Trauma Surgery·A NesbakkenA Walløe
Jan 1, 1986·Injury·L KayH O Raaschou
Apr 18, 2009·Journal of Orthopaedic Surgery and Research·Lanny V GriffinJoseph J Zubak
Jun 1, 1986·International Orthopaedics·G De BastianiL Renzi Brivio
Oct 1, 1982·Acta Orthopaedica Scandinavica·G Gudmundsson, M Yllö
Dec 1, 1982·Acta Orthopaedica Scandinavica·O Böstman, A Hänninen
Nov 25, 2003·Der Unfallchirurg·F Kutscha-Lissberg, K F Hopf
Feb 1, 1980·Acta Orthopaedica Scandinavica·A Hulth
Dec 3, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christian von RüdenDorien Schneidmueller

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.