Abstract

• Recently closed interlocting intramedullary nailing under image intensifier has been widely used in the treatment of segmental fracture of long bone and good results have been reported. Twenty-six segmental fractures of tibia were treated with interlocking intramedullary nailing from Mar. 1989 to Feb. 1993 at Dae-Dong General Hospital and all cases were followed up more than 18 months.
  In this paper we are reporting the results of twenty-six segmental tibial fracture treatment.
  1. Seventeen patients were male and 7 patients were female.
  2. Eighteen cases(69.2%) were caused by traffic accident and ipsilateral fibular fractures were the most common associated injury.
  3. Most common type of fractures were Melis type II(10 cases 38.4fo), proximal fracture lies in the middle third of the shaft and the distal fracture lies in the lower third.
  4. Average union time in closed fractures was 23.0 weeks and 29.5 weeks in open fracture with average 28.5 weeks.
• Key words: Tibia, Segmental fracture, Intramedullary nailing

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