[Retrograde tibial intramedullary nailing with the Flex Nail--treatment of tibial fracture in an unusual case].
We report a case by a 75 year old female patient suffering a third-degree open fracture of the shinbone with a severe damage of the soft tissue. Primary operation was a temporary fixation with a fixateur externe and a radical debridement of the soft tissue with vacuum-sealing. Ten days later we did the definitive surgery. Osteosynthesis was done by a retrograd nailing with the flexible unreamed humerus nail (Flex-Nail) through the medial ankle. The defect of the soft tissue was treated by a muscle flap and meshgraft transplantation. Healing of the soft tissue and beginning consolidation of the fracture comes after 4 months. In our opinion the retrograd inserted Flex-Nail is a good option for treatment of compound fractures of the lower leg in special cases.
Wagner
F
F
Abteilung für Unfall- und Wiederherstellungschirurgie, Chirurgische Klinik, Klinikum St. Marien, Mariahilfbergweg 7, 92224 Amberg. wagner.frank@klinikum-amberg.de
Schaudig
W
W
Bauer
R
R
D000368:Aged; D001858:Bone Nails; D003646:Debridement; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D005597:Fractures, Open / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007720:Knee Prosthesis; D009779:Occlusive Dressings; D011859:Radiography; D012086:Reoperation; D017695:Soft Tissue Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014689:Venous Insufficiency / Q000150:complications