Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing.

Détails

ID Serval
serval:BIB_9953DBFA9DA9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing.
Périodique
Medical Principles and Practice
Auteur(s)
Djahangiri A., Garofalo R., Chevalley F., Leyvraz P.F., Wettstein M., Borens O., Schizas C., Mouhsine E.
ISSN
1011-7571
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
15
Numéro
4
Pages
293-298
Langue
anglais
Résumé
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 months. The nail was inserted either by patellar tendon splitting or by nonsplitting technique. The nail was inserted after overreaming by 1.5 mm. Postoperatively, patients with isolated tibial fracture were mobilized by permitting partial weight bearing on the injured leg for 6 weeks. Patients with associated ankle fractures were allowed to walk with a Sarmiento cast. RESULTS: Postoperatively, 6 (6.3%) patients developed a compartment syndrome after surgery. In 48 (50%) cases, dynamization of the nail was carried out after a mean period of 12 weeks for delayed union. Overall, a 90.6% union was obtained at a mean of 24 weeks without difference between closed or open fractures. Two (2.1%) patients with an open grade II fracture developed a deep infection requiring treatment. A 9.4% rate of malunion was observed. Eight (8.3%) patients developed screw failure without clinical consequences. At the last follow-up, 52% of patients with patellar tendon splitting had anterior knee pain, compared to those (14%) who did not have tendon splitting. CONCLUSION: Reamed intramedullary nail is a suitable implant in treating closed as well as grade I and II open tibial shaft fractures.
Mots-clé
Adolescent, Adult, Aged, Female, Fracture Fixation, Intramedullary, Fractures, Closed, Fractures, Open, Humans, Male, Middle Aged, Retrospective Studies, Tibial Fractures, Treatment Outcome
Pubmed
Web of science
Open Access
Oui
Création de la notice
24/01/2008 16:17
Dernière modification de la notice
20/08/2019 16:00
Données d'usage