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Management of ipsilateral femoral and tibial fractures

Title
Management of ipsilateral femoral and tibial fractures
Authors
Oh C.-W.Oh J.-K.Min W.-K.Jeon I.-H.Kyung H.-S.Ahn H.-S.Park B.-C.Kim P.-T.
Ewha Authors
오종건
SCOPUS Author ID
오종건scopus
Issue Date
2005
Journal Title
International Orthopaedics
ISSN
0341-2695JCR Link
Citation
International Orthopaedics vol. 29, no. 4, pp. 245 - 250
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
This is a retrospective study of 18 patients who had ipsilateral femoral and tibial fractures. They were treated by the retrograde femoral and antegrade tibial intramedullary nail from a single incision in the knee. The average time for union of femoral shaft fractures was 27.6 (18-40) weeks. One patient required antegrade nailing with a bone graft due to metal failure after using the short nail. Two tibial fractures required bone grafting due to bone loss, with an initial open fracture. The average time for union of tibial fractures was 24.5 (18-30) weeks. Functional results using the Karlstrom-Olerud criteria were excellent in 14, good in three, and acceptable in one. The only acceptable result was in a supra- and inter-condylar femoral fracture, with protrusion of the nail tip into the knee joint, which created moderate limitation of knee motion. Simultaneous retrograde femoral and antegrade tibial nailing with a single incision in the knee can achieve satisfactory results in the management of these types of fracture. © Springer-Verlag 2005.
DOI
10.1007/s00264-005-0661-7
Appears in Collections:
의과대학 > 의학과 > Journal papers
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