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Högel F, Gerber C, Bühren V, et al. Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing. Eur J Trauma Emerg Surg. 2012;39(1):73-7doi: 10.1007/s00068-012-0237-3.
Högel, F., Gerber, C., Bühren, V., & Augat, P. (2013). Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 39(1), 73-7. https://doi.org/10.1007/s00068-012-0237-3
Högel, F, et al. "Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 39,1 (2013): 73-7. doi: https://doi.org/10.1007/s00068-012-0237-3
Högel F, Gerber C, Bühren V, Augat P. Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing. Eur J Trauma Emerg Surg. 2013 Feb;39(1):73-7. doi: 10.1007/s00068-012-0237-3. Epub 2012 Nov 09. PMID: 26814925.
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Eur J Trauma Emerg Surg. 2013 Feb;39(1):73-7. doi: 10.1007/s00068-012-0237-3. Epub 2012 Nov 09.

Reamed intramedullary nailing of diaphyseal tibial fractures: comparison of compression and non-compression nailing.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

F Högel, C Gerber, V Bühren, P Augat

Affiliations

  1. Institute for Biomechanics, Murnau, Germany. [email protected].
  2. BG Traumacenter Murnau e.V., Berufsgenossenschaftliche Unfallklinik Murnau, Prof. Küntscher Str.8, 82418, Murnau, Germany. [email protected].
  3. Stryker Osteosynthesis, Prof. Küntscher Str. 1-5, 24232, Schönkirchen/Kiel, Germany. [email protected].
  4. BG Traumacenter Murnau e.V., Berufsgenossenschaftliche Unfallklinik Murnau, Prof. Küntscher Str.8, 82418, Murnau, Germany. [email protected].
  5. Institute for Biomechanics, Murnau, Germany. [email protected].
  6. Paracelsus Medical University, Salzburg, Austria. [email protected].
  7. Institute for Biomechanics, Berufsgenossenschaftliche Unfallklinik Murnau and PMU Salzburg, James Loeb Str. 7, 82418, Murnau, Germany. [email protected].

PMID: 26814925 DOI: 10.1007/s00068-012-0237-3

Abstract

BACKGROUND: Modern intramedullary implants provide the option to perform compression at the fracture gap in long bone fractures via a compression screw mechanism. The aim of this study was to assess if the application of interfragmentary compression in the intramedullary nailing of tibia fractures could increase the union rate and speed of fracture healing.

METHODS: Sixty-three patients who suffered from an AO-type 42-A3 or 42-B2 fracture that was treated by reamed intramedullary nailing between 2003 and 2008 were included in this retrospective study. Twenty-five patients were treated with dynamic interlocking without compression while 38 were treated with compression nailing. The compression load of the dynamic proximal screw was calculated by postoperative X-ray and radiographs taken four weeks after operation. Healing was assessed by radiological evaluation until the completion of bony healing or the disappearance of clinical symptoms. Nonunion was defined as the absence of radiological union and the persistence of clinical symptoms after six months.

RESULTS: Postoperative compression was applied at a mean load of 1,852 N, and 980 N remained after four weeks. In the compression group, 19 open and 19 closed fractures occurred. In the non-compression group, 25 patients were included (14 closed and 11 open cases). Active compression decreased healing time significantly. Nonunion occurred in one compression patient and three non-compression patients.

CONCLUSION: The results show that additional compression of the fracture gap can improve healing outcome in simple transverse tibial shaft fractures treated with reamed nailing.

Keywords: Biomechanics; Intramedullary nailing; Locked nailing; Nonunion; Tibia fracture

References

  1. Arch Orthop Trauma Surg. 1998;117(8):430-7 - PubMed
  2. BMC Musculoskelet Disord. 2001;2:6 - PubMed
  3. J Orthop Trauma. 1996;10(1):37-44 - PubMed
  4. Clin Orthop Relat Res. 1979 Jan-Feb;(138):175-96 - PubMed
  5. J Orthop Res. 2006 Aug;24(8):1679-86 - PubMed
  6. J Orthop Trauma. 2008 Jan;22(1):30-6 - PubMed
  7. Arch Orthop Trauma Surg. 2009 Apr;129(4):525-31 - PubMed
  8. J Orthop Trauma. 2003 May;17(5):353-61 - PubMed
  9. J Biomech. 1999 Mar;32(3):255-66 - PubMed
  10. Comput Methods Biomech Biomed Engin. 2002 Oct;5(5):369-76 - PubMed
  11. J Orthop Trauma. 2001 Aug;15(6):415-23 - PubMed
  12. Osteoporos Int. 2005 Mar;16 Suppl 2:S36-43 - PubMed
  13. J Orthop Res. 2003 Nov;21(6):1011-7 - PubMed
  14. Clin Orthop Relat Res. 1998 Oct;(355 Suppl):S132-47 - PubMed

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