J Korean Orthop Assoc.  1983 Jun;18(3):453-460. 10.4055/jkoa.1983.18.3.453.

The Treatment of Fracture of Tibial Shaft with Rush Nailing and Early Weight Bearing

• Moon MS
• Lee JY

• KMID: 2446479
• DOI: http://doi.org/10.4055/jkoa.1983.18.3.453

Abstract

Twenty nine patients who had fracture of tibial shaft were treated with closed Rush nailing and early weight bearing. 1. The average age was 37.8 years (range from 20 to 65), and 21 were men and 8 women. Eighteen cases were open fractures and 11 closed. 2. The time for clinical union was averaging 15.4 weeks. In some cases callus appeared as early as 3 weeks after nailing and in most cases appeared at 8 weeks. 3. Mild angular and rotational deformity of the fractured shaft were developed as complication but did not present any clinical problems. No deep wound infection and pulmonary embolism were encountered. 4. The nails allowed a certain dynamic controlled motion at the fracture site which was probably beneficial to early callus formation. 5. This type of closed nailing method required no medullary reaming, further periosteal stripping and muscle detachment. The allowance of early knee and ankle movements and early weight bearing after surgery could be listed as the advantage.

Keyword

Fracture; Unreamed nailing; Semirigid; Rush nail; Tibia

MeSH Terms

Ankle
Bony Callus
Congenital Abnormalities
Female
Fractures, Open
Humans
Knee
Male
Methods
Pulmonary Embolism
Tibia
Weight-Bearing*
Wound Infection