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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2003, Number 1

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Acta Ortop Mex 2003; 17 (1)

Results of the treatment of open fractures of tibial dyaphysis, by means of unreamed tibial nail

Beltrán OR, Aranda FG

Language: Spanish
References: 22
Page: 21-24
PDF size: 51.30 Kb.


ABSTRACT

This is a report of 21 cases of tibial shaft fractures, opened type I or II, from Gustillo classification, who where treated by unreamed nail of tibia. Patients were 36 years old in average Male prevalence in 3:1 relationship. In the 76% (16/21) of the cases the radiographic bone union grade III was present before 20 weeks. The more frequently complication was delayed healing and pseudarthrosis in 2 cases respectively. The infection rate from unreamed nailing was in 19%. The 80% of patients were able to return to the same profession before one year after surgery


REFERENCES

  1. Campbell M. Tratado de ortopedia. Vols I y II. 1998: 770-793, 1260-1295.

  2. Gustillo RB. Problems in the management of Type I, II, III open fractures. J Trauma 1984; 24: 742-746.

  3. Weller S. Medullary nailing according to Swiss Study Group principles. Clin Orthop 1979; 138 (1): 45-55.

  4. Muller M. Manual de osteosíntesis. 8a ed. 1998: 35-93.

  5. Muller M. Intramedullary pressure, strain on the diaphysis and evaluation of temperature when reaming. Injury 1993; 24: 22-30.

  6. Pape H. Pulmonary damage after intramedullary tibial nailing. J Trauma 1992; 33: 574-581.

  7. Hamaza KN. Fractures of the tibial. J Bone Joint Surg (Br) 1971: 696-700.

  8. Weise K. Fixateur extreme osteosynthese bei polytraumatisierten. Akt Traumatol 1993: 149-168.

  9. Arens W, Kuntcher G. Fraktur llir die Kuntcher-Nagelung aufgebohrt werden. 1977; (129): 57-60.

  10. Melcher G, Ruedi T. Tibial fractures treated with AO unreamed tibial nail. Injury 1993; 24: 407-410.

  11. Singer RW. Results of unreamed locked intramedullary nailing. Clin Orthop 1999; 315: 114-118.

  12. Court B. Infection after intramedullary nailing of the tibial. J Bone Joint Surg (Br) 1992; 74: 770-774.

  13. Williams J. Complication of nailing in closed tibial fractures. J Orthop Trauma 1995: 476-481.

  14. Bone L. Prospective study of union drate of open tibial fractures treated with locked, unreamed nails. J Orthop Trauma 1994: 45-49.

  15. Shanderlamier P. Outcome of tibial shaft fractures with severe soft tissure injury treated by unreamed nailing versus external fixation. J Trauma 1995; 39 (4): 707-711.

  16. Tu, Lin C. Unreamed interlocking nail versus external fixator for open type I, II, III, tibial fractures. J Trauma 1995; 39 (2): 36, 1-7.

  17. Muller M. Intramedullary nailing of tibia: Unreamed nailing of tibia: results for open fractures. Injury 1999; 30 (suppl 3.2): 62-97.

  18. Truetta J. Manejo integral de las fracturas abiertas. 2a ed. Interamericana, 1976: 212-18.

  19. Keating JF. Knee pain after tibial nailing. J Orthop Trauma 1997; 11 (1): 10-13.

  20. Jawets E. Microbiología clínica. Manual Moderno, 1992: 317-39.

  21. Tegner Y, Lysholm J. Rating systems in the evaluation of knee an ankle function after injuries. Clin Orthop 1985; 198: 43-49.

  22. Ostern HJ, Tscherne H. Pathophysiologie und klasification des weichteilscahdens. Berlín: Springer Pub, 1983; 162: 1-10.




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