Öz
Abstract
Objective: Nonunion is a common problem in fractures in the lower third of the tibia. Conditions such as thin soft tissue cover and poor blood supply cause this situation. In addition, mechanical problems such as proximity to the ankle and short distal segment makes the treatment of nonunion very difficult. Intramedullary nailing offers a powerful solution to this problem. Because there is no need for wide dissection and the implant remains intraosseous, creating a minimum problem for soft tissues. The aim of this study is to determine the efficacy of reamed intramedullary nail in the treatment of nonunions developed in fractures in the lower 1/3 of the tibia.
Material and Methods: The data of 14 patients who developed nonunion after a fracture of the lower 1/3 tibia and were treated with a reamed intramedullary nail were retrospectively analysed. All patients whose fractures in the 1/3 distal of the tibia and who did not have any signs of active infection were included in the study. Two patients had a history of superficial infection occurring after the first operation, but none of the patients had signs of active infection during the operation. All patients were treated with reamed locked intramedullary nailing.
Results: Union was achieved in all patients. Mean time to union was 5.7 (3-10) months. No patient developed an infection.
Conclusion: Reamed locked intramedullary nailing is a very reliable method in the treatment of nonunions, which are seen in the lower third of the tibia and are difficult to treat.