Reamed or unreamed nailing for closed tibial fractures. A prospective study in Tscherne C1 fractures.
We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment with reamed and unreamed intramedullary nails. Our results show that reamed nailing is associated with a significantly lower time to union and a reduced requirement for a further operation. Unreamed nailing should not be used in the treatment of the common Tscherne C1 tibial fracture.
Court-Brown
C M
CM
Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh NHS Trust, UK.
Will
E
E
Christie
J
J
McQueen
M M
MM
D000328:Adult; D001858:Bone Nails; D001863:Bone Screws; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D005596:Fractures, Closed / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011446:Prospective Studies; D011859:Radiography; D018709:Statistics, Nonparametric; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*