Clinical Results of Intramedullary Nailing in Open Reduction of Tibial Shaft Fractures

Abstract

We report some cases of intramedullary nailing for tibial shaft fracture which is usually used for open reduction as it often cannot be applied to closed reduction. We report such cases in this paper.
Osteosynthesis was performed on a total of 65 patients to treat closed tibial shaft fractures using T2 tibial nails (Stryker, Michigan) from January 2001 to December 2010. We actively performed open reduction in six of these cases, but evaluated, only five cases in this study as one case moved to another hospital. An incision was made over the fractured point for the intramedullary nailing while maintaining the reduced position of the bone using a bone-holding forceps. Bone union as well as deformities during bone union were assessed.
Bone union was found in all five cases and took 16 to25 weeks (average 20.5weeks). Angular deformity was within 3°.