Methods: We conducted a multicenter, blinded randomized trial of 1319 adults in whom a tibial shaft fracture was treated with either reamed or unreamed intramedullary nailing. Perioperative care was standardized, and reoperations for nonunion before six months were disallowed. The primary composite outcome measured at twelve months postoperatively included bone-grafting, implant exchange, and d...

background: fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. the purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. methods: we studied 148 patients (150 femoral shaft fractures) with...

We performed a prospective, randomized controlled study on 60 patients with fresh closed diaphyseal tibial fractures to determine the effect of percutaneous autologous bone marrow injection on union rate. Sixty patients were randomized into a group of 30 patients each. 30 patients were treated with reamed intramedullary interlocking nail and 30 patients were treated with combination of reamed i...

BACKGROUND Prediction of negative postoperative outcomes after long-bone fracture treatment may help to optimize patient care. We recently completed the Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT), a large, multicenter trial of reamed and unreamed intramedullary nailing of tibial shaft fractures in 1226 patients. Using the SPRINT data, ...

In the last 10 years, traumatologists have become more aware of the importance of blood supply to fracture fragments for both the healing of fractures and prevention of infection. Due to our experience with fractures having severely disrupted periosteal blood supply, we are looking more critically at intramedullary reamed nailing as a treatment option. This research was a result of our increase...

PURPOSE To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. METHODS We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatica...

Objective: To evaluate the results of fracture union in closed reamed interlocking nail in fractures of femur. Methodology: A descriptive study conducted at Department of Orthopaedic surgery Ittefaq Hospital Lahore from March 2003 to July 2004. Fifty patients were recruited from Accident & Emergency and out patient department having close fracture of femoral shaft. All patients were operated un...

conclusions the functional outcome 22 months post injury showed that although primary treatment method uses locked imn in humeral shaft fractures, unlocked imn can be used in appropriate cases. less injury risk to the axillary and radial nerve, short period of surgery, and less radiation can be considered as advantages of this technique. introduction although intramedullary nailing (imn) is use...

introduction: intramedullary nailing (imn) of high tibia fracture has some mechanical and biological advantages over the other form of fixation. however, valgus, apex anterior malalignment and anterior displacement of proximal fragment commonly occur after isolated imn fixation of proximal high tibia fracture. the purpose of this study is to determine the effectiveness of using 3.5-mm locking c...