BACKGROUND Intramedullary nailing is commonly used for treating fractures of the tibial shaft. These fractures are one of the most common long bone fractures in adults. OBJECTIVES To assess the effects (benefits and harms) of different methods and types of intramedullary nailing for treating tibial shaft fractures in adults. SEARCH METHODS We searched the Cochrane Bone, Joint and Muscle Tra...

Tibial shaft fractures are treated surgically by different methods. In the last few years interlocking intramedullary nailing has emerged as a gold standard for tibia fracture. The clinical and radiological outcome is better complications like compartment syndrome, neurovascular injuries, infection, non-union relatively less of tibia. use ILIM nail also shows reduce risk reoperation. Nail consi...

Background: The ideal treatment of distal metaphyseal tibia fractures is still controversial. With the development of extremely distal locking multidirectional holes, the application of intramedullary nailing has extended to the treatment of distal metaphyseal tibial fractures. The aim of the study was to evaluate the results of interlocking intramedullary nailing in extra-articular distal meta...

OBJECTIVE To compare the locked, unreamed intramedullary nail with Ender pins in the treatment of open Gustilo grade I or II or closed tibial diaphyseal fractures of type A, B, or C2 of the AO classification. MATERIALS AND METHODS Forty-four patients with unilateral tibial diaphyseal fractures were treated with intramedullary nails or Ender pins. Twenty patients were treated with an unreamed ...

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...

We analysed the results of 93 tibial shaft fractures treated with the Grosse-Kempf locked nail. Twenty-six fractures were comminuted, 19 were open grade I to II, and 54 were located outside the middle third of the tibia. The deep infection rate was 3.2%. There were only two poor results. The use of this method is recommended and discussed.

can be difficult when using the standard entry portal. We evaluated the suprapatellar portal, using a midline quadriceps tendon incision, to perform intramedullary nailing of the tibia. Seven patients were treated with this adaptation of the standard intramedullary nailing procedure. An arthroscopy was done before and after the nailing procedure. No special equipment was used to perform the int...

Patients with partially destroyed fingernails tend to hide them, and such patients often do not find help because fingernails are considered of little functional value. To improve the aesthetic appearance of such nails, a simple excision of the destroyed nail matrix can stimulate the growth of the residual healthy matrix and regenerate the nail. Prerequisite is a healthy nail residue of at leas...

BACKGROUND The purpose of this study was to evaluate the factors that influence residual angulation after treating pediatric distal tibial diaphyseal fractures. METHODS We retrospectively reviewed the records of 75 children under the age of ten who were treated at two referral centers for distal tibial diaphyseal fractures. The mean patient age was 6.8 ± 2.3 years, and the mean follow-up dura...

OBJECTIVE To compare ender nails and unreamed interlocking nails in a randomized clinical trial study. METHODS From March 2001 to March 2003, 131 patients with tibial fractures of the central two thirds of the tibia were admitted to the emergency ward of Shohada Hospital, Tabriz, Iran and were randomized to either an ender tibial nail or an undreamed interlocking tibial nail as their primary ...