Original scientific paper
The Analysis of the Unstable Tibia Fracture Treatment Applying Internal Stabilization Method
Ivan Lovrić
Borislav Has
Savo Jovanović
Igor Lekšan
Radivoje Radić
Saša Rapan
Milan Rukavina
Abstract
The study included 51 patients with tibia fractures, who underwent percutaneous bone reposition and stabilization
with unrimed tibial locking nail. The results obtained using this method were compared with those obtained by standard
fracture treatment where flat and anatomic plates were applied (n=64). In patients who had osteosynthetic material implanted
percutaneously (using unrimed tibial locking nail) there was no incidence of post surgical osteitis or any pseudarthrosis.
The healing callus of the fracture was of lesser quality and spindle shaped, suggesting that fracture stabilization
using this method was less efficient. In patients with fractures stabilized by the open method using flat and anatomic
plates (n=64), we noticed 3.1% (n=2) cases of osteitis and 4.7% (n=3) cases of pseudarthrosis. Due to lesser incidence
of postoperative osteitis, our method of choice in tibia fractures would be percutaneous stabilization with unrimed
tibial locking nail. However, this treatment method has its disadvantages, too. Fracture callus is of lesser quality and it
is spindle shaped. Furthermore, there are problems with adequate percutaneous reposition in some cases, as well as necessity
for radiological checking.
Keywords
fractures tibiae; tibial nail; plate; osteitis
Hrčak ID:
26929
URI
Publication date:
3.12.2007.
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