[Results of treatment following management of tibial segmental fractures].
Between 1965 and 1982 68 patients with segmental-fracture of the tibia have been treated at the Department of Traumatology of the University of Mainz. These patients and their medical records have been investigated. The segmental-fracture of the tibia is characterized by a high percentage (56%) of open injuries and a large amount (11.5%) of bad results. The main problem is the open fracture with major soft tissue injuries. The results of our investigations show, that the degree of soft tissue involvement has a large influence on healing. Because of the critical blood-supply of the tibia and the major circulatory impairment in segmental fractures nailing with a thin nail is a good treatment. In open fractures with major soft tissue injuries the external fixator should be preferred, because it doesn't cause additional soft-tissue-injury.
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013978:Tibial Fractures / Q000601:surgery*; D014945:Wound Healing
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