Objective: In this study, we evaluated the reliability, reproducibility and final outcome of our techniques for performing image independent tibial interlocking nailing. Design: Prospective. Setting: Tertiary teaching hospital (level I trauma center). Patients/participants: A total of 29 patients were selected for the study (21 males and 8 females patients). Intervention: Locked tibial intramed...

We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment with reamed and unreamed intramedullary nails. Our results show that reamed nailing is associated with a significantly lower time to union and a reduced requirement for a further operation. Unreamed nailing should not be used in the treatment of the common Tscherne C1 tib...

We performed a prospective, randomized controlled study on 60 patients with fresh closed diaphyseal tibial fractures to determine the effect of percutaneous autologous bone marrow injection on union rate. Sixty patients were randomized into a group of 30 patients each. 30 patients were treated with reamed intramedullary interlocking nail and 30 patients were treated with combination of reamed i...

PURPOSE To enhance bone healing through controlled interfragmentary movements, numerous experiments have been conducted in animal models employing external fixation devices to apply mechanical stimulation to the fracture site. However, the efficacy of these fixators has been questioned. On the other hand, intramedullary nailing is a widely established clinical practice for reducing closed tibia...

OBJECTIVE  To determine whether low intensity pulsed ultrasound (LIPUS), compared with sham treatment, accelerates functional recovery and radiographic healing in patients with operatively managed tibial fractures. DESIGN  A concealed, randomized, blinded, sham controlled clinical trial with a parallel group design of 501 patients, enrolled between October 2008 and September 2012, and followe...

BACKGROUND Ideal body weight (IBW), which can be calculated using the variables of true height and sex, is important for drug dosing and ventilator settings. True height often cannot be measured in the emergency department (ED). OBJECTIVES Determine the most accurate method to estimate IBW using true height-based IBW that uses true height estimated by providers or patients compared to true he...

INTRODUCTION Stress fractures are overuse injuries most commonly seen in athletes, military recruits, and individuals with endocrine abnormalities. It has been demonstrated that chronic cases of anterior tibial stress fractures refractory to conservative management respond well to intramedullary nailing. To our knowledge, only one report has been published concerning patients with bilateral tib...

Distal tibial hypertrophic nonunion with angular deformity has been successfully treated by circular external fixator. The inconvenience of the bulky external fixator and frequent pin tract infection would not be accepted in certain cases. This study included thirteen patients (mean age 39 years) with angular deformity of the distal dia-/metaphyseal tibial shaft. Five patients were originally t...

BACKGROUND There are many techniques that are used for limb lengthening. Lengthening a limb over a plate is an alternative choice used in children or when using an intramedullary nail is difficult. OBJECTIVES In this study, we presented a new technique for tibial lengthening using a monolateral external fixator over a lengthening plate. MATERIALS AND METHODS For tibial lengthening, a monola...