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Treatment of open tibial shaft fractures using tightly fitted interlocking nailing

Title
Treatment of open tibial shaft fractures using tightly fitted interlocking nailing
Authors
Oh C.-W.Bae S.-Y.Jung D.-Y.Oh J.-K.
Ewha Authors
오종건
Issue Date
2006
Journal Title
International Orthopaedics
ISSN
0341-2695JCR Link
Citation
vol. 30, no. 5, pp. 333 - 337
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Between 2000 and 2003 we treated 23 patients who sustained open tibial shaft fractures with tightly fitted interlocking intramedullary nailing. There were three grade I, eight grade II, nine grade IIIa, and three grade IIIb open fractures. Nail diameters were decided on using preoperative and intraoperative radiographs. Nails were introduced after gentle passage with a 7- to 8-mm hand reamer. Union was obtained in all cases. Nine (37.5%) fractures, however, required additional procedures before union. Three of them gained union through exchange nailing, bone graft, and bone transport, respectively. The remaining six underwent dynamisation. Two of them required an additional exchange nailing for non-union; thereafter one healed and the other gained union through an additional bone graft. Deep infection occurred in one case. Screw breakage occurred in one case only. Tightly fitted nailing produced a significantly lower incidence of locking screw breakage. However, even with this advantage, this technical modification has failed to show clinical advantage in terms of higher healing rate or lower rate of secondary procedures. © Springer-Verlag 2006.
DOI
10.1007/s00264-006-0093-z
Appears in Collections:
의과대학 > 의학과 > Journal papers
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