J Korean Fract Soc.  1998 Apr;11(2):449-455. 10.12671/jksf.1998.11.2.449.

Clinical Results of Unreamed Static Interlocking Intramedullary Nailing In Clsed Tibial Shaft Fractures

• Lee SY
• Shin YS
• Yang JH
• Park HY

• KMID: 1944018
• DOI: http://doi.org/10.12671/jksf.1998.11.2.449

Abstract

For the treatment of tibial shaft fracures interlocking intramedullary nailing has been used widely. Recently choosing between reamed or unreamed interlocking nailing for closed tibial shaft fracture is still controversial. The purpose of this study is to evaluate the results and complications of unreamed interlocking nailing for closed tibial shaft fractures. We reviewed 28 closed tibial shaft fractures that were treated with unreamed static medullary nailing from May 1993 to December 1996 at the Deparment of Orthopaedic surgery, Pohang St. Mary's Hospital. The results were as follows 1. In all 28 cases, union of the fracture was achieved at average 19.6 weeks and tere was no malunion. 2. We performed additional procedures in 4 cases(14.3%) for union : autogenous iliac bone graft in 1 case(3.5%) that was unstable segmental fracture and dynamization in 3 cases(10.7%) 3. There was breakage of distal locking screw in 1 case but no breakage of intramedullary nail.

Keyword

Tibia; Closed shaft fracture; Unreamed intramedullary nailng

MeSH Terms

Fracture Fixation, Intramedullary*
Gyeongsangbuk-do
Tibia
Transplants