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Ender Nailing of Tibial Shaft Fractures
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In Young Ok, Yang Guk Chung, Tec Soo Kim
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J Korean Soc Fract 2000;13(1):87-95. Published online January 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.1.87
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 Abstract
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- PURPOSE
Though Ender nailing in tibial shaft fractures is a good method of treatment, there were several reports about complications such as angulation or shortening. Most of those complications were associated with improper surgical technique and might be avoidable. So, we analyzed the results of tibial Ender nailing in view of the complications and their contributing factors.
MATERIAL AND METHOD: Thirty-five tibial shaft fractures were treated with Ender nailing and followed up for 12 to 51 months. We evaluated the bony union, angulation, shortening, proximal migration of nail and infection, and analyzed the results in association with the type and the location of fractures, the number and the length of nails and the divergency of distal tip of nails.
RESULTS
Average bony union time was 18.5 weeks and there were 2 delayed unions, 2 nonunions, 5 angulations, 1 shortening, 3 soft tissue irritations by proximal tips of nails, 1 proximal migrations of nails and one nail breakage. Most of them were associated with technical faults such as few number, short length or insufficient divergency of nails. According to the type of fractures, the highest rate of complications was seen in segmental fractures.
CONCLUSION
Performed by proper surgical technique based on detailed fracture analysis, most of the complications of Ender nailing for tibial shaft fractures might be avoidable. Therefore, Ender nailing is one of the useful alternatives for tibial shaft fractures.
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Citations
Citations to this article as recorded by  - Manoeuvring Distal Tibial Shaft Fractures with Ender’s Nailing: Case Series
Aditya Pundkar, Chandrashekar Kulkarni
Journal of Datta Meghe Institute of Medical Sciences University.2023; 18(3): 481. CrossRef
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Treatment of Die-punch fractures in Unstable Distal Radius Fractures
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Seung koo Rhee, Seok Whan Song, Yang Guk Chung, Wha Seong Lee, Seung Joon Ryoo
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J Korean Soc Fract 1999;12(4):1012-1020. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1012
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Abstract
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- Die-punch fracture is a comminuted intra-drticular fracture on the distal radius with depressed articular fragments caused by impaction of carpal bones, mainly lunate or scaphoid. As in the other intra-articular fractures, the accurate rehtoration of congruent articular surface is necessary to get good functional results. The purpose of this study is to review the results in a series of 24 die-punch fracturef according to the type of fractures dnd the method of treatments. During the 5 year period after July, 1993, total 24 die-punch fractures in 22 patients were treated by surgery(22 cases) or closed method(2 cases) and were followed up for average 29 months. On the last follow-up examination, radiographic changes of grade 1 or 2 of post-traumatic arthritis were seen in twelve wrists and ten of them comptained of pain at wrists. Mean range of motion of wrist joints were 62 of flexion, 64 of extension, 80 of pronation, 77 of supination, 17 of radial deviation and 27 of ulnar deviation. According to the Demerit point system. total 22 of 24 cases(91.7%) showed excellent or good result and there were no poor results. From these results, we concluded the die-punch fractures are so unstable comminuted intraarticular fracture on the distal radius with displaced postero-medial fracture fragments on the radiolunate joint, that if we only reduce them anatomically, mostly by open reduction, internal fixation with or without bone grafts, then we could obtain good results.
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