Intramedullary osteosynthesis of A1 type tibial fractures



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Abstract

Authors analyzed results of osteosynthesis by locking and not-locking nails in treatment of 64 patients with diaphyseal extra-isthmal A1 type tibial fractures. Patients were divided into two clinical groups. The first group consisted of 20 patients with juxta-isthmal fractures, the second - 44 patients with juxta-metaphyseal fractures. The obtained data show that the use of locking nails and rectangular section nails produced good results at juxta-isthmal fractures. In cases of juxta-metaphyseal fracture the use of rectangular section nails was associated with a greater risk of complications compared to locking nails.

About the authors

I I Litvinov

Email: litorthorus@rambler.ru

A G Razankov

References

  1. Литвинов, И.И. Внутренний остеосинтез закрытых диафизарных переломов бедренной и большеберцовой костей : дис. …д-ра. мед. наук / Литвинов Игорь Иванович. - Ярославль, 2005. - 427 с.
  2. Johner, R. Classification of tibial shaft fractures and correlation with results after rigid internal fixation / R. Johner, O. Wruhs // Clin. Orthop. - 1983. - N 178. - P. 7-25.
  3. Müller, C.A. Intramedullary nailing of the tibia: Current status of primary unreamed nailing. Part 1: Results for closed fractures / C.A. Müller, P. Strohm, Ph. Morakis, U. Pfister // Injury. - 1999. - Vol. 30, N 3. - P. 39-43.

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Copyright (c) 2009 Litvinov I.I., Razankov A.G.

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