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Segmental tibial shaft fractures treated with interlocking nailing
1Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taiwan, Republic of China.
Journal of Orthopaedic Trauma
|January 1, 1993
Summary
Closed Grosse-Kempf interlocking nails achieved a 97% union rate for segmental tibial shaft fractures. This method offers satisfactory range of motion and minimal complications, making it ideal for closed or mild open fractures.
Area of Science:
- Orthopedic surgery
- Traumatology
- Biomedical engineering
Background:
- Segmental tibial shaft fractures present complex treatment challenges.
- Interlocking nailing is a common surgical technique for long bone fractures.
- Evaluating outcomes of closed interlocking nailing for specific fracture patterns is crucial.
Purpose of the Study:
- To assess the efficacy and safety of closed Grosse-Kempf interlocking nailing for segmental tibial shaft fractures.
- To determine union rates, time to union, and functional outcomes.
- To identify and analyze complications associated with this treatment method.
Main Methods:
- Retrospective study of 38 patients with segmental tibial shaft fractures.
- Treatment involved closed application of Grosse-Kempf interlocking nails.
- Follow-up duration was at least 1 year, averaging 32 months.
Main Results:
- A high union rate of 97% was achieved.
- The average time to union was 4.5 months.
- Satisfactory knee and ankle range of motion was reported, with one aseptic nonunion (3%) successfully treated by nail dynamization.
Conclusions:
- Closed Grosse-Kempf interlocking nailing is a highly effective treatment for closed or mild open segmental tibial shaft fractures.
- The procedure demonstrates a favorable union rate and good functional outcomes.
- This technique is recommended for suitable tibial fracture cases.