Tibia fractures, treatment whith intramedullary unfreased nails
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Keywords

Shaft fractures
Intramedullary nails
Fixation
Angular deform

How to Cite

Del Gordo D´Amato, R., Castillo Suárez, F., Habeych González, A., & Robles Bernal, R. (2008). Tibia fractures, treatment whith intramedullary unfreased nails. Duazary, 5(1), 4–8. https://doi.org/10.21676/2389783X.552

Abstract

A descriptive study was realized on different types of cases that analyze inherent aspects of 92 closed and openedshaft fractures of tibia type I and II of Gustillo. These 125 fractures were treated in the orthopedic and traumatologyservice in the Clinica El Prado in Santa Marta D.T.C.H between December 2005 and December 2007. From these 125cases, 33 cases were excluded of this study which needed different approaches, as well as orthopedic or surgicalmanagement with external fixation or tutors. We used the AO classification in which the type of injury correspondnumber 42.In this study a high level of transit accidents is found; the most common one being the motorcycle. 86 of 92 patientswere evaluated; this means 93.5% and several complications in 4.6% of the cases such as post operative infectionand distortion in the proximal and distal level for different causes. These causes were corrected after short periodof time with different procedures.
https://doi.org/10.21676/2389783X.552
PDF (Español (España))

References

Del Gordo RJ, Fandiño LP, Fernandez M, Cuao D. Trauma de Extremidades en la Ciudad de Santa Marta. Rev. Duazary; 2005; 2 (2): 102 - 108.

Cid Casteulani A. Politrauma en Argentina, la enfermedad silenciosa de las sociedades modernas. Revista Argentina de Medicina y Cirugía del Trauma. N0 5 Vol 1, Diciembre 2000.

Court-Brown CM, McBirnie J. The epidemiology of tibial fractures. J Bone Joint Surg Br, 1995;77: 417-21.

Sarmiento A, Sharpe FE, Ebramzadeh E, Normand P, Shankwiler J. Factors influencing the outcome of closed tibial fractures treated with functional bracing. Clin Orthop, 1995;315: 8-24.

Khalily C, Behnke S, Seligson D. Treatment of closed tibia shaft fractures: a survey from the 1997 Orthopaedic Trauma Association and Osteosynthesis International—Gerhard Kuntscher Kreis meeting. J Orthop Trauma, 2000;14: 577-81.

Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing. Its use in closed and type I open fractures. J Bone Joint Surg Br, 1990;72: 605-11.

Fracture and dislocation compendium. Orthopaedic Trauma Association Committee for Coding and Classification. J Orthop Trauma, 1996;10 Suppl 1: 1-154.

Ruedi TP, Murphy WM et al,. Muller AO Classification Fractures. AO principles of fracture management. AO Publishing. Stuttgart, New York. 2000.

Hooper GJ, Keddell RG, Penny ID. Conservative management or closed nailing for tibial shaft fractures. A randomised prospective trial. J Bone Joint Surg Br, 1991;73: 83-5.

Toivanen JA, Vaisto O, Kannus P, Latvala K, Honkonen SE, Jarvinen MJ. Anterior knee pain after intramedullary nailing of fractures of the tibial shaft. A prospective, randomized study comparing two different nailinsertion techniques. J Bone Joint Surg Am, 2002;84: 580-5

Keating JF, O’Brien PI, Blachut PA, Meek RN, Broekhuyse HM. Reamed interlocking intramedullary nailing of open fractures of the tibia. Clin Orthop, 1997;338: 182-91.

Templeman D, Larson C, Varecka T, Kyle RF. Decision making errors in the use of interlocking tibial nails. Clin Orthop, 1997;339: 65-70.

Lang GJ, Cohen BE, Bosse MJ, Kellam JF. Proximal third tibial shaft fractures. Should they be nailed?. Clin Orthop, 1995;315: 64-74.

Williams J, Gibbons M, Trundle H, Murray D, Worlock P. Complications of nailing in closed tibial fractures. J Orthop Trauma, 1995;9: 476-81.

Tyllianakis M, Megas P, Giannikas D, Lambiris E. Interlocking

intramedullary nailing in distal tibial fractures. Orthopedics, 2000;23: 805-8.

Lindström T, Gullichsen E, Lertola K, Niinikoski J. Leg tissue perfusion in simple tibial shaft fractures treated with unreamed and reamed nailing. J Trauma, 1997;43: 636-9.

Finkemeier CG, Schmidt AH, Kyle RF, Templeman DC, Varecka TF. A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft. J Orthop Trauma, 2000;14: 187-93.

Kumar A, Charlebois S, Cain L, Smith R, Crates J. Effect of fibular plate fixation on rotational stability of simulated distal tibial fractures treated with intramedullary nailing. J Bone Joint Surg Volume 85-A(4), April 2003, p 604–608.

Dogra AS, Ruiz AL, Thompson NS, Nolan PC. Dia-metaphyseal distal tibial fractures. Treatment with a shortened intramedullary nail: a review of 15 cases. Injury, 2000;31: 799-804.

Weber TG, Harrington RM, Henley MB, Tencer AF. The role of fibular fixation in combined fractures of the tibia and fibula: a biomechanical investigation. J Orthop Trauma. 1997;11:206–11.

Gustillo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453 -8.

Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984;24:742-746.

Kakar S, Tornetta, P. Open Fractures of the Tibia Treated by Immediate Intramedullary Tibial Nail Insertion Without Reaming: A Prospective Study. J Orthop Trauma. Volume 21(3), March 2007, pp 153-157.

Tornetta P 3rd, Collins E. Semiextended position of intramedullary nailing of the proximal tibia. Clin Orthop, 1996;328: 185-9

Buehler KC, Green J, Woll TS, Duwelius PJ. A technique for intramedullary nailing of proximal third tibia fractures. J Orthop Trauma, 1997;11: 218- 23.

Krettek C, Stephan C, Schandelmaier P, Richter M, Pape HC, Miclau T. The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails. J Bone Joint Surg Br, 1999;81: 963-8.

Egol K, Weisz R, Hiebert R, Tejwan N, Koval K, Sanders R. Does Fibular Plating Improve Alignment After Intramedullary Nailing of Distal Metaphyseal Tibia Fractures? J Bone Joint Surg (Am.) Volume 20(2), February 2006, pp 94-103.

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