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01-08-2008 | Original Paper

Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union

Authors: Aso Mohammed, Ramaswamy Saravanan, Jason Zammit, Richard King

Published in: International Orthopaedics | Issue 4/2008

Abstract

Distal third tibial fractures are prone to non-union following tibial nail insertion. The purpose of this study was to assess the union of distal third tibial fractures in patients who have undergone intra-medullary (IM) tibial nailing with one versus two distal locking screws. Sixty-five patients who had intramedullary tibial nail fixation were retrospectively analysed. Our results showed that 80% of non-unions in distal third fractures had only one distal locking screw compared to 20% who had two distal locking screws. This is statistically significant (p<0.01). We therefore conclude that two distal locking screws are essential for distal third fractures.

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Title: Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union
Authors: Aso Mohammed
Ramaswamy Saravanan
Jason Zammit
Richard King
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 4/2008
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-007-0356-3

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Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union

Abstract

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Abstract

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