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Distal tibial fracture--an indication for osteosynthesis with the unreamed intramedullary nail?

Richter, D.; Ostermann, P.A.; Ekkernkamp, A.; Hahn, M.P.; Muhr, G.

Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress 114: 1259-1261

1997

ISSN/ISBN: 0942-2854
PMID: 9574396
Document Number: 477071
In a prospective study, 50 fractures of the distal fifth of the tibia with additional involvement of the ankle joint in 18 patients were stabilized by unreamed nailing. In all, 90% of all fractures healed uneventfully without further surgical intervention after unreamed nailing, the highest ratio of complications (22%) being seen in all patients with distal fractures of the fibula without additional plating (of the fibula). Tibial fractures close to the ankle joint can be managed by unreamed nailing; distal fractures of the fibula should be additionally stabilized by fibular plating.

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