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KMID : 0386419950080020370
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Journal of the Korean Fracture Society
1995 Volume.8 No. 2 p.370 ~ p.377
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Overall review of the Treatment of Tibial Fracture by Endernailing -Technical
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윤형구
전광표/정대은/전호승/장대영
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Abstract
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Fractures of the tibia are one of the most common injury encountered by orthopaedic surgeons and their treatments are considered to be difficult due to serious complications. Many treatment modalities were introduced. Among them, bender
nailing is considered one of the useful modality because it is a relatively simple and, less invasive procedure.
Authors analized 123 tibia fractures treated with Endr nails from Feb. 1986 to Feb. 1992 to solve the problems during Ender nailing. The follow up ranged from 12 months to 57 months with an average of 17 months.
@ES The results are as follows;
@EN 1. Among 123 patients. 93 cases are male and 30 cases are female. Traffic accident is the most common cause of injury.
2. Average interval from injury to operation is 9 days and average 2.7 Ender nails are used. The mean duration of the bone union is 19.1 weeks.
3. To prevent knee joint pain, more distal medial and lateral portal of entry and more
posteriorly located lateral of entry of entry were used.
4. To provide stability of distal 1/3 fracture, 3 or more nails are introduced with fanning in AP and lateral plane.
5. to provide stability of the comminuted fractures, convexities of at least 2 nails are located at the comminuted site.
6. To prevent rotation of the middle fragments of segmental fractures, technique of temporary Steinmann pin fixation for handling the middle fragment during operation were used.
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