Enclouage verrouillé du tibia [Interlocking nailing of the tibia]

Details

Serval ID
serval:BIB_676B7B8B5BDE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Enclouage verrouillé du tibia [Interlocking nailing of the tibia]
Journal
Swiss Surgery
Author(s)
Suter M., Blanc C.H., Chevalley F.
ISSN
1023-9332
Publication state
Published
Issued date
1995
Number
5
Pages
250-255
Language
french
Abstract
Centromedullary nailing is a well-established method of treatment for diaphyseal long bone fractures. The indications have been broadened greatly since the introduction in 1974 of interlocking centromedullary nailing. The purpose of this paper is to review our first results with locked intramedullary nailing of the tibia. We report our experience with the first 19 cases of interlocking tibia nails (15 fractures, 1 delayed union, 2 pseudarthrosis, 1 osteotomy). On the extension table, the insertion of the nail and the placement of the interlocking screws did not cause any problem. In 3 cases, a proximal screw had to be removed within two weeks because of spontaneous displacement. Complications have been noticed in three patients (15.8%) (pulmonary embolism on day 1, and compartment syndrome two days later in one case, sciatic nerve neuroapraxia in the other two). The other patients have been mobilized 24 to 48 hours after surgery. 94% of the fractures were consolidated 4 months post-operatively, with no major deformation. Interlocking tibia nailing seems to be an attractive method in the treatment of certain fractures of the tibia. Early mobilisation and weight-bearing are provided. The indications, the technical aspects as well as the dangers of the method must be carefully respected in order to avoid complications and poor results.
Keywords
Bone Nails, Compartment Syndromes, Fracture Fixation, Intramedullary, Humans, Postoperative Complications, Prospective Studies, Pseudarthrosis, Pulmonary Embolism, Tibial Fractures
Pubmed
Create date
24/01/2008 15:13
Last modification date
20/08/2019 14:22
Usage data