Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing

Background:Reamed interlocking intramedullary nailing of the tibia is a procedure for the treatment of a non-infected tibial nonunion. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial nonunion. Methods: Twenty-nine patients with nonunion after i...

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Main Authors: Ehsan Akbarian, Soheil Hamedanchi, Siroos Malekpoor, Mehdi Moghtadaei
Format: Article
Language:English
Published: Iran University of Medical Sciences 2009-02-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-14&slc_lang=en&sid=1
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author Ehsan Akbarian
Soheil Hamedanchi
Siroos Malekpoor
Mehdi Moghtadaei,
author_facet Ehsan Akbarian
Soheil Hamedanchi
Siroos Malekpoor
Mehdi Moghtadaei,
author_sort Ehsan Akbarian
collection DOAJ
description Background:Reamed interlocking intramedullary nailing of the tibia is a procedure for the treatment of a non-infected tibial nonunion. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial nonunion. Methods: Twenty-nine patients with nonunion after initial therapy for tibial fracture  were retrospectively assessed after a reamed interlocking intramedullary nailing.The main measurements were derived from radiographic and clinical union as  well as time from reamed nailing to union.  Results: Twenty-eight patients achieved union of their fracture (97%). The average  time from reamed nailing to union was 7.6 months. Serious complications included  one severe infection in the site of surgery (3%) and one tibial fracture distal to  the nail (3%).Conclusion: Reamed interlocking intramedullary nailing for nonunions of the tibia resulted in a high union rate and was associated with a low complication rate.This technique is recommended as a standard procedure for non-infected tibial nonunions.
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spelling doaj.art-3f2a5f4708bc4441b5ab5e38a46fac462022-12-21T20:09:10ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402009-02-01224183190Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary NailingEhsan AkbarianSoheil HamedanchiSiroos MalekpoorMehdi Moghtadaei,Background:Reamed interlocking intramedullary nailing of the tibia is a procedure for the treatment of a non-infected tibial nonunion. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial nonunion. Methods: Twenty-nine patients with nonunion after initial therapy for tibial fracture  were retrospectively assessed after a reamed interlocking intramedullary nailing.The main measurements were derived from radiographic and clinical union as  well as time from reamed nailing to union.  Results: Twenty-eight patients achieved union of their fracture (97%). The average  time from reamed nailing to union was 7.6 months. Serious complications included  one severe infection in the site of surgery (3%) and one tibial fracture distal to  the nail (3%).Conclusion: Reamed interlocking intramedullary nailing for nonunions of the tibia resulted in a high union rate and was associated with a low complication rate.This technique is recommended as a standard procedure for non-infected tibial nonunions.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-14&slc_lang=en&sid=1Tibial FractureTibial NonunionTibial Delayed UnionReamed InterlockingIntramedullary nailing
spellingShingle Ehsan Akbarian
Soheil Hamedanchi
Siroos Malekpoor
Mehdi Moghtadaei,
Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
Medical Journal of The Islamic Republic of Iran
Tibial Fracture
Tibial Nonunion
Tibial Delayed Union
Reamed Interlocking
Intramedullary nailing
title Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
title_full Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
title_fullStr Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
title_full_unstemmed Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
title_short Management of Tibial Nnon-Union Using Reamed Interlocking Intra-Medullary Nailing
title_sort management of tibial nnon union using reamed interlocking intra medullary nailing
topic Tibial Fracture
Tibial Nonunion
Tibial Delayed Union
Reamed Interlocking
Intramedullary nailing
url http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-14&slc_lang=en&sid=1
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AT siroosmalekpoor managementoftibialnnonunionusingreamedinterlockingintramedullarynailing
AT mehdimoghtadaei managementoftibialnnonunionusingreamedinterlockingintramedullarynailing