Functional­ results ­and ­use ­of ­locked­ intramedullary ­nailing­ in tibial ­shaft fractures

  • Pablo S. Rotella Traumatología y Ortopedia del Norte - Sanatorio del Norte - Tucumán
  • Fernando R. Valero Barg Traumatología y Ortopedia del Norte - Sanatorio del Norte - Tucumán
  • Mauricio D. Vittar Traumatología y Ortopedia del Norte - Sanatorio del Norte - Tucumán
  • Marcela A. D´Urso Villar Cátedra de Bioestadística-Facultad de Medicina-Universidad Nacional de Tucumán
DOI: https://doi.org/10.15417/149
Keywords: Locked intramedullary nailing, Fracture, Tibia

Abstract

BackgroundLocked intramedullary nailing of tibial shaft fractures proved to be a valuable method of treatment, and the results exceed those of plate fixation and elastic intramedullary nailing with multiple nails.The aim of this study was to evaluate the functional results using this method in all lesions in which stabilization is indicated with this type of implant, and with a two-year follow-up.MethodsOne hundred and twelve patients who underwent locked intramedullary nailing as primary osteosynthesis at the Department of Orthopaedics and traumatology, from March 2000 to December 2009, and with a two-year follow-up. The following variables were collected: age (years), sex, infection, vascular injury, deformity, mobility, pain, gait, activity, type of fracture. a descriptive analysis of the variables involved and an association analysis by Jones and Wruhs score were performed. The confidence level used was 5%.ResultsOne hundred and seven (96%) of the 112 fractures consolidated without other procedures within 17 weeks. There were 5 cases of nonunion, but a tibial fracture at three levels consolidated at 32 weeks and a distal fracture consolidated in 24 weeks. Postoperative complications were rare and at the end of treatment, most patients returned to their previous working and daily activities. The infection rate was 8.03%, with a mean follow-up of 27.48 months.ConclusionIn our experience, this method is safe and relatively simple with great versatility and offers a comfortable postoperative period to the patient with good functional outcome. Therefore, we consider it as a first choice for treating tibial shaft fractures.

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Published
2013-10-11
How to Cite
Rotella, P. S., Valero Barg, F. R., Vittar, M. D., & D´Urso VillarM. A. (2013). Functional­ results ­and ­use ­of ­locked­ intramedullary ­nailing­ in tibial ­shaft fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 78(3), 120 - 128. https://doi.org/10.15417/149
Issue
Vol 78 No 3 (2013)
Section
Clinical Research

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