BACKGROUND The optimal treatment of major fractures in patients with blunt multiple injuries continues to be discussed. The aim of this study is to investigate the clinical course of polytrauma patients treated at a Level I trauma center within the last two decades regarding the effect of changes in the management of their femoral shaft fracture. METHODS In a retrospective cohort study perfor...

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...

Objective: To compare the outcome (union) between reamed and unreamed nailing in tibial diaphyseal fracture (transverse). Material and methods: This randomized study was carried out in the Department of Orthopedic Surgery, Nishtar Hospital, Multan from January 2009 to September 2009. Two hundred and ten patients were divided into two groups A and B. Group A patients were managed by reamed inter...

This study compared the radiographic and clinical outcomes of pediatric diaphyseal femur fractures treated by submuscular plating, flexible retrograde intramedullary nailing, or rigid antegrade intramedullary nailing with a trochanteric entry point in skeletally immature patients who were 8 years and older. A retrospective review was conducted of skeletally immature patients 8 years and older w...

BACKGROUND Reamed interlocking intramedullary nailing is considered the gold standard treatment for complex fractures of the femoral and tibial shaft. There has been some controversies about dynamization of statically locked nails, and some authors recommended routine dynamization for promotion of healing. This study aims to evaluate treatment of complex fractures in tibia and femur with static...

©2006 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.88B5. 16875 $2.00 J Bone Joint Surg [Br] 2006;88-B:576-80. Intramedullary nailing is considered to be the optimum treatment for fractures of the long bones of the lower limbs and various studies have been published describing the functional outcome of both reamed and unreamed nailing. 1-15 Several complications have...