A technique for intramedullary nailing of proximal third tibia fractures.
Twelve of 14 proximal third tibial shaft fractures were successfully treated with a new technique for intramedullary nailing of these fractures. The average anterior displacement was 3.0 mm (range 0-17). The average coronal plane alignment was 2.0 degrees valgus (range 2 degrees varus to 12 degrees valgus). There was one nonunion. The technique's success is dependent on neutralizing the primary factors causing malreduction: wide effective diameters of tibial nails, narrow diameter of the medial tibial metaphysis, and a posteriorly directed sagittal plane entrance angle.
Buehler
K C
KC
Division of Orthopaedics and Rehabilitation, Oregon Health Sciences University, Portland 97201-3098, USA.
Green
J
J
Woll
T S
TS
Duwelius
P J
PJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000601:surgery; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome