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Reamed or unreamed nailing for closed tibial fractures. A prospective study in Tscherne C1 fractures
C M Court-Brown1, E Will, J Christie
1Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh NHS Trust, UK.
Abstract:
We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment with reamed and unreamed intramedullary nails. Our results show that reamed nailing is associated with a significantly lower time to union and a reduced requirement for a further operation. Unreamed nailing should not be used in the treatment of the common Tscherne C1 tibial fracture.