A comparison between unreamed locked intramedullary nailing and plate-screw fixation in the treatment of tibial diaphyseal fractures
Joint Authors
Tavakoli, A.
Tadi, H. Mousavi
Mahmoodian, A.
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 12, Issue 6 (30 Nov. 2010), pp.640-643, 4 p.
Publisher
Publication Date
2010-11-30
Country of Publication
United Arab Emirates
No. of Pages
4
Main Subjects
Topics
Abstract EN
Background : tibia diaphysis fracture is the most common fracture of long bones.
In Iran plating and undreamed tibia nailing (UTN) are the most commonly used methods and because of paucity of equipment's such as c-arm and reaming sets, the reamed method is rarely used.
This study compares these two methods.
Methods : in a randomized clinical trial study including 100 patients (78 males, 22 females ; mean age = 24 years ; range = 16-50 years) undergoing UTN and plate-screw in the treatment of uncommented closed tibia shaft fractures (50 patients in each group) were compared regarding the union time and complications after a mean follow up of 16 months (12- 20 months).
Results : the mean time to union was 16 weeks with UTN and 14.3 weeks with plate-screw fixation.
There was 4 (8%) and 3 (6%) non unions after UTN and plating respectively.
Plain radiographs in both groups showed angulation in 3 patients ; all in distal third and in various (6 %).
There was not any infection after UTN but one case of superficial and one case of deep infection were noticed after osteosynthesis with plate and screw (4%).
Four patients after UTN and 4 patients after fixation with plate-screw required reoperation (8%).
Conclusion : plate-screw osteosynthesis yielded satisfactory results in uncommented closed fractures of the tibia shaft comparable with UTN results.
American Psychological Association (APA)
Tavakoli, A.& Tadi, H. Mousavi& Mahmoodian, A.. 2010. A comparison between unreamed locked intramedullary nailing and plate-screw fixation in the treatment of tibial diaphyseal fractures. Iranian Red Crescent Medical Journal،Vol. 12, no. 6, pp.640-643.
https://search.emarefa.net/detail/BIM-252107
Modern Language Association (MLA)
Tavakoli, A.…[et al.]. A comparison between unreamed locked intramedullary nailing and plate-screw fixation in the treatment of tibial diaphyseal fractures. Iranian Red Crescent Medical Journal Vol. 12, no. 6 (Nov. 2010), pp.640-643.
https://search.emarefa.net/detail/BIM-252107
American Medical Association (AMA)
Tavakoli, A.& Tadi, H. Mousavi& Mahmoodian, A.. A comparison between unreamed locked intramedullary nailing and plate-screw fixation in the treatment of tibial diaphyseal fractures. Iranian Red Crescent Medical Journal. 2010. Vol. 12, no. 6, pp.640-643.
https://search.emarefa.net/detail/BIM-252107
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 642-643
Record ID
BIM-252107