Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing

Medical Journal of The Islamic Republic of Iran

卷:22

关键词: Tibial Fracture;    Tibial Nonunion;    Tibial Delayed Union;    Reamed Interlocking;    Intramedullary nailing;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background:Reamed interlocking intramedullary nailing of the tibia is a procedure for the treatment of a non-infected tibial nonunion. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial nonunion. Methods: Twenty-nine patients with nonunion after initial therapy for tibial fracture  were retrospectively assessed after a reamed interlocking intramedullary nailing.The main measurements were derived from radiographic and clinical union as  well as time from reamed nailing to union.  Results: Twenty-eight patients achieved union of their fracture (97%). The average  time from reamed nailing to union was 7.6 months. Serious complications included  one severe infection in the site of surgery (3%) and one tibial fracture distal to  the nail (3%).Conclusion: Reamed interlocking intramedullary nailing for nonunions of the tibia resulted in a high union rate and was associated with a low complication rate.This technique is recommended as a standard procedure for non-infected tibial nonunions.

【 授权许可】

Unknown