The Treatment of Fracture of Tibial Shaft with Rush Nailing and Early Weight Bearing
10.4055/jkoa.1983.18.3.453
- Author:
Myung Sang MOON
;
Jae Young LEE
- Publication Type:Original Article
- Keywords:
Fracture;
Unreamed nailing;
Semirigid;
Rush nail;
Tibia
- MeSH:
Ankle;
Bony Callus;
Congenital Abnormalities;
Female;
Fractures, Open;
Humans;
Knee;
Male;
Methods;
Pulmonary Embolism;
Tibia;
Weight-Bearing;
Wound Infection
- From:The Journal of the Korean Orthopaedic Association
1983;18(3):453-460
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Twenty nine patients who had fracture of tibial shaft were treated with closed Rush nailing and early weight bearing. 1. The average age was 37.8 years (range from 20 to 65), and 21 were men and 8 women. Eighteen cases were open fractures and 11 closed. 2. The time for clinical union was averaging 15.4 weeks. In some cases callus appeared as early as 3 weeks after nailing and in most cases appeared at 8 weeks. 3. Mild angular and rotational deformity of the fractured shaft were developed as complication but did not present any clinical problems. No deep wound infection and pulmonary embolism were encountered. 4. The nails allowed a certain dynamic controlled motion at the fracture site which was probably beneficial to early callus formation. 5. This type of closed nailing method required no medullary reaming, further periosteal stripping and muscle detachment. The allowance of early knee and ankle movements and early weight bearing after surgery could be listed as the advantage.
