1. Intramedullary nailing and functional bracing of tibial shaft fractures: 167 cases followed for minimum 2 years.
- Author
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de Santos de la Fuente FJ, López Arévalo R, Tena Carrillo C, Ramos Salguero JC, and Fernández Medina JM
- Subjects
- Adolescent, Adult, Aged, Bone Nails adverse effects, Female, Follow-Up Studies, Fracture Fixation, Intramedullary adverse effects, Fracture Fixation, Intramedullary instrumentation, Fracture Healing, Fractures, Malunited etiology, Fractures, Ununited etiology, Humans, Male, Middle Aged, Prosthesis Failure, Radiography, Surgical Wound Infection etiology, Tibial Fractures diagnostic imaging, Time Factors, Treatment Outcome, Bone Nails standards, Braces standards, Fracture Fixation, Intramedullary methods, Tibial Fractures surgery
- Abstract
We treated 167 diaphyseal tibial fractures without reaming and with intramedullary fixation, using an unlocked Küntscher nail. The patients were followed for a minimum of 2 years. The mean time to union was 16 weeks. There were no serious complications, but 1 case of nonunion, 1 case of deep infection and 2 cases of clinically relevant malalignment. Migration of the nail was observed in 11 cases. We conclude that this treatment is simple and gives satisfactory results in diaphyseal fractures after low- or mid-energy trauma.
- Published
- 1998
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