title: [Management of tibial shaft fracture with an unreamed intramedullary nail. A principally changed implant].
abstract: Unreamed intramedullary tibial nailing is a "biological" method of osteosynthesis. The unreamed AO tibial nail (UTN) is an implant based on a different principle, which no longer requires tight intramedullary fitting, but, as a loose-fitting nail, does need both proximal and distal interlocking. Our experience shows that the use of the solid UTN results in a shift in indications towards fractures with traumatic soft tissue lesions. For the "classical" nailing indications, the AO universal nail continues to be used.
authors.affiliation: Abteilung Unfallchirurgie, Klinikum der Universität Freiburg/Br.
authors.forename: M
authors.initials: M
authors.lastname: Seif el Nasr
authors.forename: P
authors.initials: P
authors.lastname: Münst
authors.forename: E H
authors.initials: EH
authors.lastname: Kuner
mesh_terms: D000293:Adolescent; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Versorgung der Tibiaschaftfraktur mit einem ungebohrten Marknagel. Ein vom Prinzip her verändertes Implantat.