Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
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 i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Iran University of Medical Sciences
2009-02-01
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| Series: | Medical Journal of The Islamic Republic of Iran |
| Subjects: | |
| Online Access: | http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-14&slc_lang=en&sid=1 |
| Summary: | 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. |
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| ISSN: | 1016-1430 2251-6840 |