Journal of Musculoskeletal Trauma

Original Article

A Comparison of Reamed and Unreamed Interlocking Intramedullary Nailing for Closed Fractures of the Tibia Shaft: Keun Bae Lee, Sung Taek Jung, Dae Chang Joo, Jae Joon Lee; J Korean Soc Fract 2000;13(3):515-521. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.515

PURPOSE
To get a reliable clinical data of interlocking IM nailing, the authors compared the results of the reamed interlocking IM nailing(Reamed) with unreamed interlocking IM nailing(Unreamed) in only closed fractures of tibial shaft. MATERIAL AND METHODS: Each Reamed(n=40) and Unreamed group(n=31) was followed by twenty-nine(13-53) months and twenty-one(13-55) months. We analyzed the results and complications of the each group.
RESULTS
The average total duration of the procedures performed without reaming was 13 minutes shorter than that of the procedures done with reaming(p>0.05). Twenty-nine fractures(73%) that were treated with reaming and eighteen(58.1%) that were treated without reaming united at postoperative 4 months. But, thirty-eight(95%) and twenty-nine(93.5%) fractures united at postoperative 6 months respectively. There was only one nonunion, which developed without reaming. Delayed union occurred after two nailing procedures with reaming and after one without reaming. Malunion occurred after one nailing with reaming and after two without reaming. There were two superficial infection, which developed after nailing with reaming.
CONCLUSION
There was no significant differences in the clinical and radiological result between reamed and unreamed nailing for the treatment of closed tibial shaft fracture. But, the bone union rate was significantly higher in reamed group than unreamed group at postoperative 4 months.

Citations

Citations to this article as recorded by

Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
Suk-Kyu Choo, Hyoung-Keun Oh, Hyun-Woo Choi, Jae-Gwang Song
Journal of the Korean Fracture Society.2011; 24(1): 28. CrossRef

130 View
0 Download
1 Crossref

First
Prev
Page of 1
Next
Last

Search