The unreamed tibia nail

Markmiller, Max; Tjarksen, M.; Mayr, Edgar; Rüter, A.

doi:10.1007/s004230000137

Cited by 12 publications

(3 citation statements)

References 20 publications

(21 reference statements)

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“…The technique avoids separation of fragments during insertion, which aids fracture healing. Therefore, in the open fracture group, the average four month healing rate of our study is higher than the multicentre study of Markmiller et al [12]. In our experience, it is not an absolute taboo to apply UTN in Fig.…”

Section: Discussioncontrasting

confidence: 63%

“…Nassif et al [13] compared the effect of reaming and not reaming on compartment pressure. The study suggested that increase in compartment pressure in the reamed group was significantly lower than in the unreamed group (P<0.05) 10,12,14,16,18,20,22, and 24 hours after operation. No case of compartment syndrome occurred in our study.…”

Section: Discussionmentioning

confidence: 87%

“…The latter might lead to osteonecrosis and fat embolism. A multicentre clinical experiment [12] of the AO organization suggested that it is significantly important to protect the blood supply to fragments when treating tibial shaft fractures. It will not only improve fracture healing but prevent infection as well.…”

Section: Discussionmentioning

confidence: 99%

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Backstroke technique: an effective way to improve the healing of tibia fracture

Lee¹,

Zeng²,

Luo³

et al. 2006

International Orthopaedics (SICOT)

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To assess the method and results of applying a backstroke technique, we treated 43 patients with tibial shaft fracture using unreamed tibial nails (UTN). Of these patients, 27 suffered a closed fracture and 16 an open fracture. After the operation, the effect of treatment was evaluated: 42 of 43 cases were followed up from four to 18 months, averaging 13.6 months. The four-month and 12-month healing rates of open fracture were 54.6 and 80.9%, respectively, the former of which is significantly higher than the average rate of the AO/ASIF multicentre study. Our results indicate that applying a backstroke technique in treating tibial shaft fracture with UTN can improve the healing rate and reduce complications.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Backstroke technique: an effective way to improve the healing of tibia fracture

Lee¹,

Zeng²,

Luo³

et al. 2006

International Orthopaedics (SICOT)

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Computational comparison of reamed versus unreamed intramedullary tibial nails

Gómez‐Benito

Fornells

García-Aznar

et al. 2006

Journal Orthopaedic Research

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We compared, via a computational model, the biomechanical performance of reamed versus unreamed intramedullary tibial nails to treat fractures in three different locations: proximal, mid-diaphyseal, and distal. Two finite element models were analyzed for the two nail types and the three kinds of fractures. Several biomechanical variables were determined: interfragmentary strains in the fracture site, von Mises stresses in nails and bolts, and strain distributions in the tibia and fibula. Although good mechanical stabilization was achieved in all the simulated fractures, the best results were obtained in the proximal fracture for the unreamed nail and in the mid-diaphyseal and distal fractures for the reamed nail. The interlocking bolts, in general, were subjected to higher stresses in the unreamed tibial nail than in the reamed one; thus the former stabilization technique is more likely to fail due to fatigue. ß

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