[Intramedullary nailing of proximal tibial fractures. Complications and risk factors].
BACKGROUND
We performed a consecutive study on patients with proximal tibial fractures without joint participation to determine the early clinical and radiological outcome.


METHODS
From January 2000 to December 2005, 22 fractures of the proximal and proximal diaphyseal tibia without joint participation were operated on using the new tibia nail. A total of 18 patients (82%) completed full follow-up after 6 weeks and 3 and 6 months.


RESULTS
Two primary and one secondary malalignment were observed Two of them were initially polytraumatised. Furthermore, two patients developed a delayed union, and one non-union occurred. Risk factors for limited bony consolidation were smoking and an open fracture. Screw or nail breakage did not occur, and no infection was observed.
Josten
C
C
Klinik für Unfall-, Wiederherstellungs- und Plastische Chirurgie, Universität Leipzig, Leipzig.
Marquass
B
B
Schwarz
C
C
Verheyden
A
A
D000328:Adult; D000368:Aged; D001858:Bone Nails; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome