• Langenbecks Arch Chir Suppl Kongressbd · Jan 1997

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

    • D Richter, P A Ostermann, A Ekkernkamp, M P Hahn, and G Muhr.
    • Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Bochum.
    • Langenbecks Arch Chir Suppl Kongressbd. 1997 Jan 1;114:1259-61.

    AbstractIn 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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