BACKGROUND Fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. The purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. METHODS We studied 148 patients (150 femoral shaft fractures) with...

ABSTRACT BACKGROUND Although the tibia is one of the most commonly fractured long bones in the body, there are two accepted management techniques: reamed and unreamed nailing. There is not a general consensus as to which technique is more advantageous to the patient. PATIENTS AND METHODS This was a single centre prospective randomized trial of 38 adults with a tibial shaft fracture who wer...

The aim of this prospective study is to compare the result of treatment in two groups , one group closed intramedullary nailing after reaming with the other group closed reduction followed by plaster casting in the patient having isolated closed diaphyseal tibial fracture in adult. Materials & Methods: All patients with an isolated closed unilateral fracture of the tibial diaphysis, , were eval...

introduction: intramedullary nailing (imn) of high tibia fracture has some mechanical and biological advantages over the other form of fixation. however, valgus, apex anterior malalignment and anterior displacement of proximal fragment commonly occur after isolated imn fixation of proximal high tibia fracture. the purpose of this study is to determine the effectiveness of using 3.5-mm locking c...

PURPOSE To evaluate the role of immediate and definitive management of Gustilo type III A/B tibia fractures with intramedullary nailing and fasciocutaneous flap. METHODS From August 2010 to July 2012, 22 patients with Gustilo Grade III A/B tibia fractures were managed with a single stage treatment of ipsilateral fasciocutaneous flap & reamed intramedullary nailing and were included in the stu...

Tibia is the most commonly fractured long bone in the body with an annual incidence of tibial shaft fractures 2 per 1000 individuals. The use of non-operative treatment of tibial fractures that are widely displaced or that are the result of high-energy forces is associated with a high prevalence of malunion, stiffness of the joint, and poor functional outcome. Closed Tibial diaphyseal fractures...

INTRODUCTION Although intramedullary nailing (IMN) is used in a reamed or unreamed fashion for treatment of long bone fractures, the locked nails may also be used in the unlocked form if so decided by the orthopedic surgeon. CASE PRESENTATION We describe a 50-year-old man who had a shaft fracture of his right humerus. The fracture was treated with a reamed, locked IMN using unlocked technique...

conclusions we advocate that unream nailing in traumatic femoral shaft fractures is a simple, safe and effective procedure with significant advantages, especially in multitrauma patients. patients and methods between january 2008 and august 2009, 50 patients with femoral shaft fractures were treated with unreamed or reamed femoral nails in our clinic. from this prospective single centre study, ...