Locked nailing for nonunion of the tibia.
نویسندگان
چکیده
We treated 24 patients with nonunion of tibial shaft fractures by locked intramedullary nailing, 18 by open and six by closed techniques. Union was achieved in 22 patients, failing only in two patients with active infection. Locked nailing prevented recurrence of deformity and allowed the patients to mobilise without external support. Supplementary bone grafting was essential only for major defects.
منابع مشابه
Retrograde locked intramedullary nailing for aseptic supracondylar femoral nonunion following failed locked plating.
PURPOSE To review the outcome of retrograde locked nailing for aseptic supracondylar femoral nonunions following failed locked plating. METHODS Records of 20 men and 4 women aged 20 to 57 (mean, 39) years who underwent retrograde locked intramedullary nailing for aseptic supracondylar femoral nonunion following failed locked plating were reviewed. There were 20 closed and 4 open Gustilo type ...
متن کاملOpen tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator
Objective: To evaluate the incidence of union, nonunion, deep infection and factors influencing the time of bone healing in the treatment of open tibial shaft fractures Gustilo and Anderson types I and II initially treated with a non penetrating external fixator (Pinless®) followed by an unreamed intramedullary locked nail (UTN®). Methods: It is a prospective study of 39 open tibial shaft fract...
متن کاملAssessment of the treatment outcome of closed extra-articular distal tibia fracture: IM nailing vs plating
Abstract Background: The tibial diaphyseal fractures are the most common type of long bone fractures encountered by most orthopedic surgeons. In accordance with descriptive indices of tibia fractures on the basis of their location in the bone, distal tibia fractures have the second incidence of all tibia fractures after the middle tibia fractures. The purpose of the study was to asses...
متن کاملRole of Antibiotic Cement Coated Nailing in Infected Nonunion of Tibia
INTRODUCTION Infected nonunion of long bones is a chronic and debilitating disorder. It is more difficult to deal with when the implant used for internal fixation itself becomes a potential media for infection because of bacterial adhesion and biofilm formation. Traditionally, it is managed by two-stage procedure for controlling the infection first and then treating the nonunion. This study has...
متن کاملFactors affecting rates of infection and nonunion in intramedullary nailing.
We report a retrospective study over five years to determine the incidence of infection and nonunion after intramedullary nailing in fractures of 214 long bones; 122 femoral, 75 tibial and 17 humeral. The indications for nailing were trauma (n = 161), pathological fracture (n = 30) and nonunion (n = 23). There were 30 open fractures. The overall rates of deep infection and nonunion were 3.8% an...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 74 3 شماره
صفحات -
تاریخ انتشار 1992