J Korean Fract Soc.  2006 Apr;19(2):147-152. 10.12671/jkfs.2006.19.2.147.

Ender Nailing of the Tibial Shaft Fractures under the Local Anesthesia

• Ha SH
• Lee JY
• Kim DY

• KMID: 2063841
• DOI: http://doi.org/10.12671/jkfs.2006.19.2.147

Abstract

PURPOSE: To evaluate the clinical result of ender nailing under local anesthesis was done to patient with tibia shaft fracture who had high risk for general anesthesia or spinal anesthesia.
MATERIALS AND METHODS
10 cases with ender nailing procedure under local anesthesia due to high anesthetic risk were selected from total of 20 cases with tibia shaft fracture operated with ender nailing. In each patient, hepatic, diabetic, cadiopulmonary complication and thromboembolism which can be initiated or aggravated by general or spinal anesthesia, were evaluated. Radiologic and clinical evaluation were used to check bone union.
RESULTS
There were no complication of local anesthesia. Bone union were acquired in all cases with average bone union period of 18 weeks. There were no evidence of flexion deformity, limb shortening or joint contracture.
CONCLUSION
Ender nail fixations under local anesthesia enable close reduction and intramedullary nailing and is effective in patient care but has no problem with bone union. For this reason, ender nail fixation under local anesthesia seem to be effective method if general of spinal anesthesia is difficult.

Keyword

Tibia fracture; Local anesthesia; Ender nail

MeSH Terms

Anesthesia, General
Anesthesia, Local*
Anesthesia, Spinal
Congenital Abnormalities
Contracture
Extremities
Fracture Fixation, Intramedullary
Humans
Joints
Patient Care
Thromboembolism
Tibia