Surigical Treatment of Tibial Shaft Fractures.

概要

論文の詳細を見る
Between 1986 and 1992 we surgically treated 64 patients (67 legs) with 114 tibial shaft fractures including tibial condyle fractures. Patients comprised 49 males and 15 females ranging in age from 16 to 79 years (mean; 45.1 years).The main instruments used for osteosynthesis were plates (K-U plate, Dupuis plate, May plate and T-buttress plate) and intramedullary nails (Küntscher type nail and Ender nail).Only plates were used in the upper third of the tibial shaft while in the middle and lower third, plates and intramedullary nails were used.In the upper third, the shortest period of weight bearing was observed in cases treated with anatomical plates (Dupuis and May plates). In the middle third, the longest period of bone union was in those who received K-U plates. In the lower third, the longest period of bone union was in those treated with Ender nails.In the upper third, anatomical bone plates and in the middle third, intramedullary nails provided good results. In the lower third, the use of Ender nailing depended on consideration being given to personal features.
西日本整形・災害外科学会の論文