Reamed versus Unreamed Intramedullary Nailing after External Fixator Application in the Treatment of Open Tibial-Shaft Fracture

The authers reviewed 15 patients of open fracture of the tibial shaft who were treated by external fixation followed by intramedullary nailing. These fractures comprised two Type-I, two Type-II, four Type-IIIa, and seven Type-IIIb injuries. Ten patients were treated with unreamed intramedullary nailing and 5 patients were treated with reamed intramedullary nailing. The results were analyzed as followings:

[1]  C. Court-Brown,et al.  Locked intramedullary nailing of open tibial fractures. , 1991, The Journal of bone and joint surgery. British volume.

[2]  J Kenwright,et al.  Controlled mechanical stimulation in the treatment of tibial fractures. , 1989, Clinical orthopaedics and related research.

[3]  E. V. Lim,et al.  Treatment of open tibial-shaft fractures. External fixation and secondary intramedullary nailing. , 1988, The Journal of bone and joint surgery. American volume.

[4]  L. Bone,et al.  Treatment of tibial fractures by reaming and intramedullary nailing. , 1986, The Journal of bone and joint surgery. American volume.

[5]  J Kenwright,et al.  The influence of induced micromovement upon the healing of experimental tibial fractures. , 1985, The Journal of bone and joint surgery. British volume.

[6]  S. Nieminen,et al.  External fixation by Hoffmann-Vidal-Adrey osteotaxis for severe tibial fractures. Treatment scheme and technical criticism. , 1983, Clinical orthopaedics and related research.

[7]  S. Olerud,et al.  External fixation of severe open tibial fractures with the Hoffmann frame. , 1983, Clinical orthopaedics and related research.

[8]  L. Fleming,et al.  Open fractures of the tibia treated by the Hoffmann external fixator. , 1983, Clinical orthopaedics and related research.

[9]  L. Fleming,et al.  Open fractures of the tibia treated with the Lottes nail. , 1983, The Journal of bone and joint surgery. American volume.

[10]  P. Fretz.  Bone in Clinical Orthopaedics — A Study in Comparative Osteology. , 1983 .

[11]  R. Emerson,et al.  A retrospective analysis of severe diaphyseal tibial fractures treated with external fixation. , 1983, Orthopedics.

[12]  R. B. Kimmel.  Results of treatment using the Hoffmann external fixator for fractures of the tibial diaphysis. , 1982, The Journal of trauma.

[13]  G. Sumner-Smith.  Bone in clinical orthopaedics : a study in comparative osteology , 1982 .

[14]  R. Denham,et al.  External fixation for complicated tibial fractures. , 1981, The Journal of bone and joint surgery. British volume.

[15]  C. Ph,et al.  Salvage of complicated open fractures by transfixation. , 1976 .

[16]  E. Weis,et al.  Salvage of complicated open fractures by transfixation. , 1976, The Journal of trauma.

[17]  G Karlström,et al.  Percutaneous pin fixation of open tibial fractures. Double-frame anchorage using the Vidal-Adrey method. , 1975, The Journal of bone and joint surgery. American volume.