Clinical Outcomes of the Tibia Segmental Fractures Treated by Intramedullary Nail Using Various Reduction Techniques
Journal of the Korean Fracture Society
;
: 50-55, 2013.
Article
in Korean
| WPRIM
| ID: wpr-175227
ABSTRACT
PURPOSE:
We evaluated the clinical outcomes of tibia segmental fractures treated by intramedullary nailing using various reduction techniques. MATERIALS ANDMETHODS:
From January 2003 to June 2009, 18 segmental tibial fracture patients treated by intramedullary nail were enrolled with a minimum 12-month follow-up. The mean follow-up was 38 months (range 15-72). According to the AO classification, the fractures were types 42C2.1, 42C2.2, and 42C2.3 in four, ten, and four patients, respectively. Ten fractures were closed and eight were open. We used various techniques for reduction during operation and investigated bone union time and complication (non-union, malunion etc.).RESULTS:
Bone grafting was performed in three patients. Complete union was achieved in all patients. The mean time for union was 16.3 weeks (range 12-21), except in three delayed union patients. All radiological evaluations showed good alignment (less than 5 degree) except in two patients; and the mean deformity angle was 2.2 degree. Knee range of motion (ROM) was 129 degree, and ankle ROM was 68 degree. Local wound infection occurred in two patients.CONCLUSION:
Intramedullary nailing is a successful method in the acute management of segmental tibial fractures, if accompanied by appropriate reduction technique.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Congenital Abnormalities
/
Tibia
/
Tibial Fractures
/
Wound Infection
/
Follow-Up Studies
/
Range of Motion, Articular
/
Bone Transplantation
/
Fracture Fixation, Intramedullary
/
Knee
/
Ankle
Type of study:
Observational study
/
Prognostic study
Limits:
Animals
/
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2013
Type:
Article
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