Various methods have been used in the treatment of tivial shaft fractures in adults. In recent years, generally accepted two surgiczAl methods are compression plate with screw fixation and intramedullary nailing.
The authors reviewed 73 cases oftivial shaft fractures, treeated by operation in department of Orthopedic Surgery, Korea University Hospital from June 1986 to April 1993 adn minimum follow up period was one year.
All cases were devided into 2 Groups, open reduction with compression plate fixation(35 cases) adn clesed reduction with nterloking intramedullary nailing(38 cases), and the two-groups were compared with each other.
@ES The results were as follows:
1. The average time of clinical and radiological union were 17.5 weeks & 26.3 weeks in the compression plate group and 12.3 weeks & 18.5 weeks in the interlocking intramedullary nailing group respectively.
2. Bony union rate was not influenced by the level of the tibial fracture. It was delayed especially in the comminuted fracture.
3. Two cases of delayed union, one cases of superficial infection and cases of limited range of motion occured in the compression plate group.
Two cases ofdelayed union and one case ofinfection combined limited knee motion occured in the interlocking intramedullary nailing gr oup.
4. According to our clinical sutdy, interlocking intramedullary nailling is regarded as a better method for the management of commiuted tibial shaft fracture than compression plaate and screw fixation.
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