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- Aso Mohammed, Ramaswamy Saravanan, Jason Zammit, and Richard King.
- Trauma and Orthopaedics, The Royal London Hospital, London, UK. asobm@hotmail.com
- Int Orthop. 2008 Aug 1;32(4):547-9.
AbstractDistal 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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