title: The analysis of the unstable tibia fracture treatment applying internal stabilization method.
abstract: The study included 51 patients with tibia fractures, who underwent percutaneous bone reposition and stabilization with unrimed tibial locking nail. The results obtained using this method were compared with those obtained by standard fracture treatment where flat and anatomic plates were applied (n = 64). In patients who had osteosynthetic material implanted percutaneously (using unrimed tibial locking nail) there was no incidence of post surgical osteitis or any pseudarthrosis. The healing callus of the fracture was of lesser quality and spindle shaped, suggesting that fracture stabilization using this method was less efficient. In patients with fractures stabilized by the open method using flat and anatomic plates (n = 64), we noticed 3.1% (n = 2) cases of osteitis and 4.7% (n = 3) cases of pseudarthrosis. Due to lesser incidence of postoperative osteitis, our method of choice in tibia fractures would be percutaneous stabilization with unrimed tibial locking nail. However, this treatment method has its disadvantages, too. Fracture callus is of lesser quality and it is spindle shaped. Furthermore, there are problems with adequate percutaneous reposition in some cases, as well as necessity for radiological checking.
authors.affiliation: Department of Surgery, University Hospital "Osijek", Osijek, Croatia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Lovrić
authors.forename: Borislav
authors.initials: B
authors.lastname: Has
authors.forename: Savo
authors.initials: S
authors.lastname: Jovanović
authors.forename: Igor
authors.initials: I
authors.lastname: Leksan
authors.forename: Radivoje
authors.initials: R
authors.lastname: Radić
authors.forename: Sasa
authors.initials: S
authors.lastname: Rapan
authors.forename: Milan
authors.initials: M
authors.lastname: Rukavina
mesh_terms: D001858:Bone Nails; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D013978:Tibial Fractures / Q000601:surgery*