A NEW SOLID UNREAMED TIBIAL NAIL FOR SHAFT FRACTURES WITH SEVERE SOFT-TISSUE INJURY

被引：33

作者：

HAAS, N ^{[1
]}

KRETTEK, C ^{[1
]}

SCHANDELMAIER, P ^{[1
]}

FRIGG, R ^{[1
]}

TSCHERNE, H ^{[1
]}

机构：

[1] HANNOVER MED SCH,DEPT TRAUMA,KONSTANTY GUTSCHOW STR 8,W-3000 HANNOVER 61,GERMANY

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1993年 / 24卷 / 01期

关键词：

D O I：

10.1016/0020-1383(93)90084-J

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

In a prospective study, 51 tibial shaft fractures with severe open or closed soft tissue damage were treated with a new, thin (8 mm or 9 mm) solid locking nail, inserted without reaming. At 6 months or more after trauma, 43 cases were reviewed. Fractures were classified according to Muller with six type A, 25 type B, and 12 type C fractures. In 13 cases there was group II (n = 8) or group III (n = 5) closed soft tissue damage (Tscherne). Of 3 0 open fractures, 16 were group OII, six were group OIIIA and eight were group OIIIB (Gustilo). Postoperative treatment in 42 of 44 aw was possible without additional cast or brace. Full weight bearing was achieved in 26 cases within 1.2 weeks, and in 42 cases within 26 weeks. In 43 cases, fracture healing occurred with a mean of 2 1.9 weeks (range 12-40 weeks). There was one case with valgus of 6-degrees and three casa with anterecurvatum deformities of 5-degrees to 10-degrees. In four cases there was an external rotation malalignment between 10-degrees and 20-degrees. In three aw we found an internal rotation deformity of 10-degrees to 20-degrees. Shortening between 0.5 and 1.0 cm was found in five cases, and in one caw shortening was 1.5 cm. None of the patients had an osteomyelitis.

引用

页码：49 / 54

页数：6

共 32 条

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