Journal of Musculoskeletal Trauma

Treatment of Open Fracture of Tibial Shaft with Non-reamed Interlocking Nailing: Byung Woo Min, Kwang Soon Song, Chearl Hyung Kang, Ki Weon Park; J Korean Soc Fract 1995;8(4):841-847. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.841

Abstract PDF: Intramedullary nailing for the treatment of a fractured tibia has proven its value not only through rigid fixation but also early joint motion and weight bearing which promote more rapid bony union and functional recovery. Recently reaming intramedullary nailing technique leaves the problems of destroying the endosteal blood supply, which associated with delayed union and postoperative infection. The purpose of this study is to evaluate the results and the complications of nonreamed interlocking intramedullary nailing in the treatment of open tibial fractures. The authors reviewed 20 cases of open fractures of tibial shaft that were treated with nonreamed interlocking intramedullary nailing from May 1993 to July 1994 The follow up period ranged from 12 to 26 months. The results were summariBed as follows. 1. The average period of radiologic union was obtatined in 21.2 weeks. 2. Complications include 1 case of delayed union and 1 case of postoperative infection in Type III open tibial fracture. Locking screw broke in 1 case of Type I open tibial fracture. 3. According to the criteria of functional results by Klemm and Borner, 18 cases(90%) showed excellent results.

Department of Orthopedic Surgery, Kwang Ju Christian Hospital: Ki Soo Kim, Seung Hee Ko, Chang Moon Suh, Yong Soo Choi, Kyung Ho Kim, Dong Myung Lee, Yang Min Jung; J Korean Soc Fract 1994;7(2):553-561. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.553

Abstract PDF: The tibia, which is covered by subcutaneous tissue anteromdially, frequently sustain open comminuted fracture by trauma. The open fractures have higher risks of infection, nonunion, delayed union and joint stiffness. The authors reviewed 54 cases of open tibial fracture, treated at Kwang Ju Christian Hospital from January 1989 to December 1992. The results were as follows : 1. The most common cause of injury was traffic accident(41 case) and the average age of the patients was 32 years. 2. The radiographic union was obtained at 16.1 weeks in type I open fracture, 18.3 weeks in type III, 20.1 weeks in type IIIa,28.0 weeks in type IIIb, and 34.7 weeks in type IIIc open fracture. 3. The secondary operation was required frequently to obtain bone union in open type II, III fracture.

Clinical study for use of monofixateur of open tibia fracutres: Seung Gyun Cha, Dong Chul Oh, Won Suk Lee, Ouc Jung Kim, Jin Yong Jung; J Korean Soc Fract 1990;3(2):262-267. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.262

Abstract PDF: Open fracture is common in the tibia than any other long bones. Because of its precarious blood supply, delayed union, nonunion and infection are frequent complications. Many external fixation device has been useful for the management of unstable, comminuted open tibia fracture for its several advantages. Among the 20 cases of open tibia fracture treated with monofixateur device from May 1987 to April 1989, the following results were obtained. 1. By Gustilo et al. Type I, II and III fractures were seen in 2 patients (10%), 16 pateints (80%) and 2 patients (10%) respectively. 2. The average fixation time was 18 weeks and full weight bearing was performed at 31 weeks.

Search