Management of tibial non-:union: using reamed interlocking intra-medullary nailing

 Abstract  Background: Reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non:::union:::. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non:::union:::.  Methods: Twenty-nine patients with non:::union::: after initial therapy for tibial fracture  were retrospectively assessed after a reamed interlocking intramedullary nailing.  The main measurements were derived from radiographic and clinical :::union::: as  well as time from reamed nailing to :::union:::.  Results: Twenty-eight patients achieved :::union::: of their fracture (97%). The average  time from reamed nailing to :::union::: was 7.6 months. Serious complications included  one severe infection in the site of surgery (3%) and one tibial fracture distal to  the nail (3%).  Conclusion: Reamed interlocking intramedullary nailing for non:::union:::s of the  tibia resulted in a high :::union::: rate and was associated with a low complication rate.  This technique is recommended as a standard procedure for non-infected tibial  non:::union:::s.