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Nonunion after Interlocking Intramedullay Nailing in Tibia Segmental Fractures
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Jin Hong Rhee, Jeong Woung Lee, Jae Yong Cho, Sang Won Bae, Seog Hyun Yoon, Ju Youn Lee
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J Korean Soc Fract 1997;10(2):309-315. Published online April 30, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.2.309
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 Abstract
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- Tibial segmetnal fracture, usually caused by strong external force has recently been increased in frequency because of increased traffic accident. This type of fracture has been well known to be very difficult to manage on reduction and maintenance of reduction, and also that it has high rate of complications such as delayed union, nonunion, infection and etc., because of high incidence of open fracture and association with other injury. For the management of this type fracture there are various methods from conservative care to operative treatment such as internal or external fixation. We analyzed nonunion of 8 cases who underwent interlocking intramedullary nailing for tibia segmental fracture. The results were as follows ; 1. Interlocking intramedullary nailing for the treatment of tibia segmental fractures were done in 29 cases(76.31%) out of total 38 tibia segmental fractures.
2. Nonunion occurred in 8 out of 29 cases(27.6%).
3. Nonunion occurred at the distal fracture site in 7 cases and both proximal and distal fracture site in 1 case.
4. Nonunion occurred in 4 cases of open fractures, 3 cases of closed fractures with compartment syndrome.
5. Nonunion occurred in 5 cases of Melis type IV, fracture, 2 cases of type I and 1 case of type II fracture.
Although the interlocking intramedullary nailing is thought to be good method for the tibia segmental fracture, our study showed relatively high rate of nonunion especially, at the distal fracture site, in case of open fracture, associated with compartment syndrome and Melis Type IV fracture. On the basis of this study we recommend that closer attention should be paid to the method of treatment, fracture type, severity of comminution, open or closed fracture, degree of soft tissue injury, and fracture site.
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Citations
Citations to this article as recorded by  - Funciones entre dendroides (abanicos) que (no) preservan (no)contractibilidad
José G. Anaya, Félix Capulín, Mónica Sánchez Garrido
Revista Integración.2021;[Epub] CrossRef - Outcomes and Analysis of Factors Affecting Bone Union after Interlocking Intramedullary Nailing in Segmental Tibia Fractures
Sang Soo Park, Jun-Young Lee, Sang-Ho Ha, Sung-Hae Park
Journal of the Korean Fracture Society.2013; 26(4): 275. CrossRef
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Operative Treatement of Comminuted Fracture of the Radial Head
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Sang Don Jeong, Jeong Woong Lee, Jin Hong Rhee, Jae Yeong Cho, Seog Hyun Yoon, Sang Won Bae, Eui Hyoung Lee
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J Korean Soc Fract 1997;10(1):127-132. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.127
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- It has been controversial to decide the proper management for the comminuted fracture of the radial head. For the management of this fracture, there are various methods such as resection of radial head, inserion of radial head implant, and open reduction and internal fixation, etc. The resection of radial head which has been performed by the majority of surgeons, could bring several complications; chronic pain in the elbow, cubitus valgus, new bone formation at site of excision and proximal migration of the radius with late subluxation of the distal radioulnar joint.
Therefore the importance of radial head has been recognized recently. Authors have had good results in 6 patients who undergone open reduction and internal fixation for severely comminuted fracture of the radial head.
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