CONSERVATIVE MANAGEMENT OR CLOSED NAILING FOR TIBIAL SHAFT FRACTURES - A RANDOMIZED PROSPECTIVE TRIAL

被引：149

作者：

HOOPER, GJ

KEDDELL, RG

PENNY, ID

机构：

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1991年 / 73卷 / 01期

关键词：

D O I：

10.1302/0301-620X.73B1.1991783

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We performed a prospective randomised trial on matched groups of patients with displaced tibial shaft fractures to compare conservative treatment with closed intramedullary nailing. The results showed conclusively that intramedullary nailing gave more rapid union with less malunion and shortening. Nailed patients had less time off work with a more predictable and rapid return to full function. We therefore consider that closed intramedullary nailing is the most efficient treatment for displaced fractures of the tibial shaft.

引用

收藏

页码：83 / 85

页数：3

相关论文

共 10 条

[1] TREATMENT OF TIBIAL FRACTURES BY REAMING AND INTRAMEDULLARY NAILING [J].

BONE, LB ;

JOHNSON, KD .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (06) :877-887

[2] FRACTURES OF THE SHAFT OF THE TIBIA TREATED WITH AO-COMPRESSION OSTEOSYNTHESIS [J].

CHRISTENSEN, J ;

GREIFF, J ;

ROSENDAHL, S .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1982, 13 (04) :307-314

[3] THE SPEED OF HEALING AFTER FRACTURE OF THE TIBIAL SHAFT [J].

ELLIS, H .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1958, 40 (01) :42-46

[4] PREVENTION OF INFECTION IN TREATMENT OF 1000 AND 25 OPEN FRACTURES OF LONG BONES - RETROSPECTIVE AND PROSPECTIVE ANALYSES [J].

GUSTILO, RB ;

ANDERSON, JT .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976, 58 (04) :453-458

[5] IS CONSERVATIVE TREATMENT OF DISPLACED TIBIAL SHAFT FRACTURES JUSTIFIED [J].

HAINES, JF ;

WILLIAMS, EA ;

HARGADON, EJ ;

DAVIES, DRA .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1984, 66 (01) :84-88

[6] CLOSED UNLOCKED NAILING FOR COMMINUTED FEMORAL FRACTURES [J].

HOOPER, GJ ;

LYON, DW .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (04) :619-621

[7] FRACTURES OF THE TIBIAL SHAFT - A SURVEY OF 705 CASES [J].

NICOLL, EA .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1964, 46 (03) :373-387

[8] THE HEALING OF CLOSED TIBIAL SHAFT FRACTURES - THE NATURAL-HISTORY OF UNION WITH CLOSED TREATMENT [J].

ONI, OOA ;

HUI, A ;

GREGG, PJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (05) :787-790

[9] PREFABRICATED FUNCTIONAL BRACES FOR THE TREATMENT OF FRACTURES OF THE TIBIAL DIAPHYSIS [J].

SARMIENTO, A ;

SOBOL, PA ;

HOY, ALS ;

ROSS, SDK ;

RACETTE, WL ;

TARR, RR .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (09) :1328-1339

[10] PLATE FIXATION VERSUS CONSERVATIVE TREATMENT OF TIBIAL SHAFT FRACTURES - RANDOMIZED TRIAL [J].

VANDERLINDEN, W ;

LARSSON, K .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1979, 61 (06) :873-878