title: The functional results of tibial shaft fractures treated with intramedullary nail compressed by proximal tube.
abstract: Nailing of tibial shaft fractures is considered the gold standard surgical method by many surgeons. The aim of this retrospective study was to investigate and compare the clinical outcome of tibial shaft fractures treated with intramedullary nails compressed by proximal tube and conventional intramedullary interlocking nails. Fifty-seven patients with tibial shaft fractures, treated with intramedullary nails compressed by proximal tube (n = 32) and the conventional interlocking nails (n = 25), were reviewed. All fractures except for one were united without any additional surgical intervention in the proximal compression tube nail group, whereas in the conventional interlocking nail group, six patients needed dynamization surgery (p = 0.005) and three cases of nonunion were recorded. In the proximal compression tube nail group, faster union occurred in 20 ± 2 (16-24) weeks (mean ± SD; range) without failure of locking screws and proximal nail migration, whereas in the conventional interlocking nail group, union occurred in 22 ± 2.5 (17-27) weeks (p = 0.001) with two failures of locking screws and two proximal nail migration. The proximal compression tube nail system is safer than the conventional nailing methods for the treatment for transverse and oblique tibial shaft fractures with a less rate of nonunion, proximal locking screw failure and proximal nail migration.
authors.affiliation: Orthopedics and Traumotology Department, Faculty of Medicine, Şifa University, Sanayi St. No: 7, 35040, Bornova, Izmir, Turkey.
authors.forename: Ahmet Adnan
authors.initials: AA
authors.lastname: Karaarslan
authors.affiliation: Orthopedics and Traumotology Department, Ozel Gazikent Medical Center, Ulastirma St., 35410, Gaziemir, Izmir, Turkey. eyad55_55@yahoo.com.
authors.forename: Nihat
authors.initials: N
authors.lastname: Acar
authors.affiliation: Orthopedics and Traumotology Department, Faculty of Medicine, Şifa University, Sanayi St. No: 7, 35040, Bornova, Izmir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Aycan
authors.affiliation: Orthopedics and Traumotology Department, Faculty of Medicine, Şifa University, Sanayi St. No: 7, 35040, Bornova, Izmir, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Sesli
keywords: Compression nail; Fracture fixation; Fracture nonunion; Tibial fractures
references.citation: Eklem Hastalik Cerrahisi. 2013;24(1):23-9
references.pmid: 23441737
references.citation: Arch Orthop Trauma Surg. 2011 Jan;131(1):79-84
references.pmid: 20473678
references.citation: Eklem Hastalik Cerrahisi. 2011 Aug;22(2):81-4
references.pmid: 21762062
references.citation: Acta Orthop Traumatol Turc. 2005;39(1):7-15
references.pmid: 15805748
references.citation: J Orthop Res. 2003 Jul;21(4):662-9
references.pmid: 12798066
references.citation: Clin Orthop Relat Res. 1995 Jun;(315 ):119-28
references.pmid: 7634660
references.citation: Clin Orthop Relat Res. 1983 Sep;(178):7-25
references.pmid: 6883870
references.citation: Acta Orthop Traumatol Turc. 2009 Nov-Dec;43(5):386-9
references.pmid: 19881317
references.citation: Clin Biomech (Bristol, Avon). 2007 May;22(4):449-56
references.pmid: 17250938
references.citation: Injury. 1996 May;27(4):265-70
references.pmid: 8762787
references.citation: Clin Biomech (Bristol, Avon). 2009 May;24(4):379-84
references.pmid: 19231049
references.citation: Injury. 2008 Mar;39(3):299-305
references.pmid: 18164298
references.citation: J Trauma. 1999 May;46(5):853-62
references.pmid: 10338403