Closed and Open Grade I and II Tibial Shaft Fractures Treated by Reamed Intramedullary Nailing

Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing.

OBJECTIVE To evaluate the results of closed and open grade I and II tibial shaft fractures treated by reamed nail and unreamed nailing. SUBJECTS AND METHODS Between 1997 and 2000, 119 patients with tibial shaft fractures were treated with reamed tibial nails. Postoperatively 96 patients (70 closed and 26 grade I and II open fractures) were followed clinically and radiologically for up to 18 m...

Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures.

BACKGROUND There remains a compelling biological rationale for both reamed and unreamed intramedullary nailing for the treatment of tibial shaft fractures. Previous small trials have left the evidence for either approach inconclusive. We compared reamed and unreamed intramedullary nailing with regard to the rates of reoperations and complications in patients with tibial shaft fractures. METHO...

Randomized Trial of Reamed and Unreamed Intramedullary Nailing of Tibial Shaft Fractures

Methods: We conducted a multicenter, blinded randomized trial of 1319 adults in whom a tibial shaft fracture was treated with either reamed or unreamed intramedullary nailing. Perioperative care was standardized, and reoperations for nonunion before six months were disallowed. The primary composite outcome measured at twelve months postoperatively included bone-grafting, implant exchange, and d...

Treatment of Low-energy Tibial Shaft Fractures Plaster Cast Versus Reamed Intramedullary Nailing

Intramedullary nailing of femoral and tibial shaft fractures

secondary infection.5 Neurologic problems such as paralysis slow ambulation, an aid to healing. Psychiatric diseases may result in decreased patient compliance.6 Social factors also affect outcome. Use of tobacco slows fracture healing.7,8 Addictions to alcohol and street drugs impair patient compliance and increase the risk of complications. Poor family support also may limit patient complianc...