Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Abstract

Interlocking compression intramedullary nailing is a very effective treatment method for tibial shaft fractures. As the compression applied by the nail increases, the time of union shortens significantly.

Acute correction and intramedullary nailing of aseptic oligotrophic and atrophic tibial nonunions with deformity

“…[ 15 , 23 ] If the fibula is displayed with signs of bowing or remodeling, suggesting that the fibula was preventing compression at the nonunion site, fibulotomy should be added other than that of the nonunion site to prevent tibial destabilization. [ 24 , 25 ] In the current study, fibulectomy was added to the main procedure in 12 patients, and there was already fibular defect in five patients. In atrophic or oligotrophic nonunions, routine fibulectomy may increase the backslapping effect and also provide axial compression during weight bearing.…”

Is Nail Dynamization Useful In Delayed Union of Tibial Shaft Fractures? A Systematic Review and Meta-Analysis

“…Publication bias was evaluated using a funnel plot and asymmetry was calculated using Egger's test, considering a p-value of <0.10 as statistically significant (Table 1). The statistical analysis was performed using the software R. 3…”

“…The reported union rates achieved with IMN are 90-100% [2][3][4]. The rate of complications like delayed union (a complication attributed to fracture morphology, soft tissue damage, and the surgical technique used) goes up to 40% [5][6][7].…”

May minimally invasive plate osteosynthesis be an alternative to intramedullary nailing in selected spiral oblique and spiral wedge tibial shaft fractures?

“…In the middle of the tibia shaft, a sufficient alignment could be achieved with nails, but this area is a short segment. [ 21 ] The proximal or distal part of the shaft is heterogeneous and, IMN cannot contact the tibial cortex in these zones. In that case, the maintenance of the reduction depends only on the fixation of the locking nails at both ends.…”