The functional results of tibial shaft fractures treated with intramedullary nail compressed by proximal tube

被引：7
|
作者：
Karaarslan, Ahmet Adnan [1 ]
Acar, Nihat [2 ]
Aycan, Hakan [1 ]
Sesli, Erhan [1 ]
机构：
[1] Sifa Univ, Orthoped & Traumotol Dept, Fac Med, Sanayi St 7, TR-35040 Izmir, Turkey
[2] Ozel Gazikent Med Ctr, Orthoped & Traumotol Dept, Ulastirma St, TR-35410 Izmir, Turkey
来源：
STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION | 2016年 / 11卷 / 01期
关键词：
Tibial fractures; Fracture fixation; Compression nail; Fracture nonunion;
D O I：
10.1007/s11751-016-0242-x
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Nailing of tibial shaft fractures is considered the gold standard surgical method by many surgeons. The aim of this retrospective study was to investigate and compare the clinical outcome of tibial shaft fractures treated with intramedullary nails compressed by proximal tube and conventional intramedullary interlocking nails. Fifty-seven patients with tibial shaft fractures, treated with intramedullary nails compressed by proximal tube (n = 32) and the conventional interlocking nails (n = 25), were reviewed. All fractures except for one were united without any additional surgical intervention in the proximal compression tube nail group, whereas in the conventional interlocking nail group, six patients needed dynamization surgery (p = 0.005) and three cases of nonunion were recorded. In the proximal compression tube nail group, faster union occurred in 20 +/- 2 (16-24) weeks (mean +/- SD; range) without failure of locking screws and proximal nail migration, whereas in the conventional interlocking nail group, union occurred in 22 +/- 2.5 (17-27) weeks (p = 0.001) with two failures of locking screws and two proximal nail migration. The proximal compression tube nail system is safer than the conventional nailing methods for the treatment for transverse and oblique tibial shaft fractures with a less rate of nonunion, proximal locking screw failure and proximal nail migration.
引用
收藏
页码：25 / 29
页数：5
相关论文
共 50 条
  • [31] Intrarnedullary fixation of tibial shaft fractures using an expandable nail: Early results of 54 acute tibial shaft fractures
    Steinberg, Ely L.
    Geller, David S.
    Yacoubian, Shahan V.
    Shasha, Nadav
    Dekel, Shmuel
    Lorich, Dean G.
    JOURNAL OF ORTHOPAEDIC TRAUMA, 2006, 20 (05) : 303 - 309
  • [32] THE TREATMENT OF OPEN TIBIAL SHAFT FRACTURES USING AN INTERLOCKED INTRAMEDULLARY NAIL WITHOUT REAMING
    SANDERS, R
    JERSINOVICH, I
    ANGLEN, J
    DIPASQUALE, T
    HERSCOVICI, D
    JOURNAL OF ORTHOPAEDIC TRAUMA, 1994, 8 (06) : 504 - 510
  • [33] Distal tibial fractures and non-unions treated with shortened intramedullary nail
    Megas, P
    Zouboulis, P
    Papadopoulos, AX
    Karageorgos, A
    Lambiris, E
    INTERNATIONAL ORTHOPAEDICS, 2003, 27 (06) : 348 - 351
  • [34] Intramedullary nailing for tibial shaft fractures in adults
    Duan, Xin
    Al-Qwbani, Mohammed
    Zeng, Yan
    Zhang, Wei
    Xiang, Zhou
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (01):
  • [35] Distal tibial fractures and non-unions treated with shortened intramedullary nail
    P. Megas
    P. Zouboulis
    A. X. Papadopoulos
    A. Karageorgos
    E. Lambiris
    International Orthopaedics, 2003, 27 : 348 - 351
  • [36] A locked hip screw intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft
    Alho, A
    Ekeland, A
    Grogaard, B
    Dokke, JR
    JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 40 (01): : 10 - 16
  • [37] Intramedullary nailing of femoral and tibial shaft fractures
    Wood, George W., II
    JOURNAL OF ORTHOPAEDIC SCIENCE, 2006, 11 (06) : 657 - 669
  • [38] TIBIAL SHAFT FRACTURES TREATED WITH FUNCTIONAL BRACES - EXPERIENCE WITH 780 FRACTURES
    SARMIENTO, A
    GERSTEN, LM
    SOBOL, PA
    SHANKWILER, JA
    VANGSNESS, CT
    JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1989, 71 (04): : 602 - 609
  • [39] Management of Tibial Shaft Fractures Distal to TKA Prosthesis by Intramedullary Nail: A Report of Three Cases
    A. Devendra
    Nishith P Gupta
    Mohd Zackariya Jaffrulah
    B. R. W. Armstrong
    J. Dheenadhayalan
    S. Rajasekaran
    Indian Journal of Orthopaedics, 2020, 54 : 901 - 908
  • [40] CLOSED INTRAMEDULLARY NAILING OF TIBIAL SHAFT FRACTURES - A COMPARISON WITH CONSERVATIVELY TREATED CASES
    SLATIS, P
    ROKKANEN, P
    ACTA ORTHOPAEDICA SCANDINAVICA, 1967, 38 (01): : 88 - &
12345