Tibial fractures with bone loss treated by primary 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...

Primary Unreamed And Unlocked Intramedullary Nailing For Open Tibial Fractures

Results: There were 124 men and 25 women with a mean age of 35 (16 to 72) years. Fractures were caused in the majority of cases (130 cases, 87.2%) by traffic accidents. Fractures were classified according to Cauchoix system into 96 grade I, 55 grade II, and 3 grade III. The duration of follow-up averaged nine (3 to 25) months. Infections (softtissue and bone) were encountered in 30 (19.5%) frac...

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...

Meta-analysis of reamed versus unreamed intramedullary nailing for open tibial fractures

BACKGROUND Open fractures of the tibial diaphysis are usually caused by high-energy trauma and associated with severe bone and soft tissue injury. Reamed and unreamed intramedullary nailing are often used for treatment of tibial injury. The purpose of this study was to investigate the clinical efficacy of reamed versus unreamed intramedullary nailing for open tibial fractures (OTF). METHODS A...

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