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The anatomic features of tibia and the treatment of tibial multi-segmental comminuted fracture with interlocking intramedullary nail
0
Zitationen
1
Autoren
2005
Jahr
Abstract
objective: To explore the technique for treating multi-segmental comminuted fracture of tibia with interlocking inframedullary nail. Methods: 42 legs treating with interlocking inframedullary nail from thirty-eight patients (26 males, 12 females with age from 18 to 86 years old, average 36.2) were summarized retrospectively. According to Gastilo classification, IIIA were 27 cases (27 legs), IIIB 14 cases (15 legs). All patients were treated with open reduction to regain length of legs and the axial line of the tibia before taking internal fixation using interlocking inframedullary nail. All patients started functional recovery at the first day after operation. Results: 32 patients were followed up for 6-23 months with average of 13.2 months, according to Johner-wish standard. Functional recovery of 29 cases was well, 2 cases better, only 1 case had malfunctional recovery. Conclusions: Most patients having complicated fractures of tibia without infection can be treated with interlocking inframedullary nail after reconstructing medullary cavity. The results are satisfactory.
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