SciELO - Scientific Electronic Library Online

 
vol.61 issue4Polarized light microscopy of hair shafts aids in the differential diagnosis of Chédiak-Higashi and Griscelli-Prunieras syndromesArterial reconstructions associated with the resection of malignant tumors author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Clinics

Print version ISSN 1807-5932

Abstract

FERNANDES, Hélio Jorge Alvachian; SILVA, Marcos Hideyo Sakaki Jorge dos Santos; REIS, Fernando Baldy dos  and  ZUMIOTTI, Arnaldo Valdir. Comparative multicenter study of treatment of multi-fragmented tibial diaphyseal fractures with nonreamed interlocking nails and with bridging plates. Clinics [online]. 2006, vol.61, n.4, pp. 333-338. ISSN 1807-5932.  http://dx.doi.org/10.1590/S1807-59322006000400010.

OBJECTIVE: A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates. MATERIALS AND METHODS: Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification). RESULTS: Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups. CONCLUSIONS: The healing time was shorter with the bridging plate technique, although no significant functional differences were found.

Keywords : Intramedullary fixation of fractures; Tibial fractures; Bridging plates; Diaphysis; Comminuted fractures.

        · abstract in Portuguese     · text in English     · pdf in English