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Angulation Deformity Following Interlocking Nailing for Treaeent of Tibia Fracture
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Hong Jun Han, Jae Hoon Shin, Jeong Hyu Lee
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J Korean Soc Fract 1996;9(4):1002-1008. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1002
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 Abstract
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- Intramedullary nailing is often the treatment of choice in the management of fractures in the tibial diaphysis. With the advent of interlocking nailing, the indication for nailing have expanded, recently. One of the most frequent but little discussed complication of tibial nailing is fracture malalignment leading to angular or rotational deformities. This retrospective study was undertaken to access the incidence of aneular malalignment after interlocking nailing for 210 tibiae(208 patients). The results obtained were as follows; 1. The incidence of angular malalignment was 12.4% 2. The incidence of angular malalignment was 15.8% in proximal one third, 4.1% in middle one third,20.7% in distal one third fractures.
3. The most frequent deformity was valgus angulation in distal one third fractures.
4. Angular deformity was developed more frequently in cases of unlearned nailing(18.9%) than reamed nailing(8.4%).
5. Angular deformity was developed more frequently in cases of double level fracture(22.2%) than single level fracture(11.5%).
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Treatment with Unlearned Locked Intramedullary Nail for Open Tibial Fractures
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Sang Soo Kim, Byung Chang Lee, Dae Moo Shim, Jae Hoon Shin
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J Korean Soc Fract 1995;8(1):284-291. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.284
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Abstract
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- Open fractures of the tibia remain a formidable injury. Which the need for stabillization of open tibial fractures is accepted, the method of fracture stabilization is still controversial because of unacceptable infection rate. External fixation has been the routine and safe procedure for open tibial fractrues. However, this is not without significant complications such as pin tract infection and delayed or nonunion due to insufccient stability.
We reviewed the records of 29 patients who underwent immediate unlearned locked intramedullary nailing for open tibial fractures. The average time between injury and operation was 2.4days. The classification of the open fractures was; fifteen Grade I, nine Grade II , and five Grade II a. There was no superficial infections, but one of type III a patient developed deep infection. Skin graft or rotational flap to cover the soft tissue defect were performed. All cases were treated by primary intramedullary nailing without a change of the fixator. So, we think unlearned locked intramedullary nailing is a good alternative method for the management of Grade I, II, III a open tibial fractures.
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