Intramedullary nailing in segmental tibial fractures

Thirty-eight consecutive segmental fractures of the tibia were treated by intramedullary nailing with the Küntscher-Herzog nail. Twenty-two fractures were closed and sixteen were open. Reaming of the medullary cavity was performed and adequate fixation was ensured by use of a plaster cast. Weight-be...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 63; no. 8; p. 1310
Main Authors Melis, G C, Sotgiu, F, Lepori, M, Guido, P
Format Journal Article
LanguageEnglish
Published United States 01.10.1981
Subjects
Adult
Aged
Bone Nails
Casts, Surgical
Female
Fracture Fixation, Intramedullary - adverse effects
Fracture Fixation, Intramedullary - methods
Humans
Male
Middle Aged
Necrosis
Radiography
Skin - pathology
Surgical Wound Infection - etiology
Tibia - blood supply
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
Wound Healing
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Summary:Thirty-eight consecutive segmental fractures of the tibia were treated by intramedullary nailing with the Küntscher-Herzog nail. Twenty-two fractures were closed and sixteen were open. Reaming of the medullary cavity was performed and adequate fixation was ensured by use of a plaster cast. Weight-bearing was allowed after thirty-days for closed fractures and sixty days for open fractures. All of the closed fractures healed without malunion or infection. Of the patients with open fractures, one had an infection; one, non-union; and one, malunion. In all cases but one, union was slower at the distal fracture.
ISSN:0021-9355
DOI:10.2106/00004623-198163080-00014