J Bone Joint Surg Br. 1991 Jan;73(1):83-5.

Conservative management or closed nailing for tibial shaft fractures. A randomised prospective trial.

Source

Department of Orthopaedic Surgery & Musculoskeletal Medicine, Christchurch Hospital, New Zealand.

Abstract

We performed a prospective randomised trial on matched groups of patients with displaced tibial shaft fractures to compare conservative treatment with closed intramedullary nailing. The results showed conclusively that intramedullary nailing gave more rapid union with less malunion and shortening. Nailed patients had less time off work with a more predictable and rapid return to full function. We therefore consider that closed intramedullary nailing is the most efficient treatment for displaced fractures of the tibial shaft.

PMID:: 1991783; [PubMed - indexed for MEDLINE]

Free full text

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Supplemental Content

Save items

Related citations in PubMed

Displaced isolated fractures of the tibial shaft treated with either a cast or intramedullary nailing. An outcome analysis of matched pairs of patients. [J Bone Joint Surg Am. 1997]
Displaced isolated fractures of the tibial shaft treated with either a cast or intramedullary nailing. An outcome analysis of matched pairs of patients.
Bone LB, Sucato D, Stegemann PM, Rohrbacher BJ. J Bone Joint Surg Am. 1997 Sep; 79(9):1336-41.
AO tubular external fixation vs. unreamed intramedullary nailing in open grade IIIA-IIIB tibial shaft fractures: a single-center randomized clinical trial. [Pak J Biol Sci. 2011]
AO tubular external fixation vs. unreamed intramedullary nailing in open grade IIIA-IIIB tibial shaft fractures: a single-center randomized clinical trial.
Mohseni MA, Soleimanpour J, Mohammadpour H, Shahsavari A. Pak J Biol Sci. 2011 Apr 15; 14(8):490-5.
Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. [J Orthop Trauma. 2008]
Long-term follow-up of tibial shaft fractures treated with intramedullary nailing.
Lefaivre KA, Guy P, Chan H, Blachut PA. J Orthop Trauma. 2008 Sep; 22(8):525-9.
Review Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature. [Can J Surg. 2000]
Review Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature.
Coles CP, Gross M. Can J Surg. 2000 Aug; 43(4):256-62.
Review Treatment of closed tibial fractures. [Instr Course Lect. 2003]
Review Treatment of closed tibial fractures.
Schmidt AH, Finkemeier CG, Tornetta P 3rd. Instr Course Lect. 2003; 52:607-22.

See reviews... See all...

Cited by 5 PubMed Central articles

Fractures of the middle third of the tibia treated with a functional brace. [Clin Orthop Relat Res. 2008]
Fractures of the middle third of the tibia treated with a functional brace.
Sarmiento A, Latta LL. Clin Orthop Relat Res. 2008 Dec; 466(12):3108-15. Epub 2008 Aug 22.
Study to prospectively evaluate reamed intramedually nails in patients with tibial fractures (S.P.R.I.N.T.): study rationale and design. [BMC Musculoskelet Disord. 2008]
Study to prospectively evaluate reamed intramedually nails in patients with tibial fractures (S.P.R.I.N.T.): study rationale and design.
SPRINT Investigators, Bhandari M, Guyatt G, Tornetta P 3rd, Schemitsch E, Swiontkowski M, Sanders D, Walter SD. BMC Musculoskelet Disord. 2008 Jun 23; 9:91. Epub 2008 Jun 23.
Are inflatable nails an alternative to interlocked nails in tibial fractures? [Clin Orthop Relat Res. 2008]
Are inflatable nails an alternative to interlocked nails in tibial fractures?
Blomquist J, Lundberg OJ, Gjerdet NR, Mølster A. Clin Orthop Relat Res. 2008 May; 466(5):1225-31. Epub 2008 Feb 26.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Conservative management or closed nailing for tibial shaft fractures. A randomis...
Conservative management or closed nailing for tibial shaft fractures. A randomised prospective trial.
J Bone Joint Surg Br. 1991 Jan ;73(1):83-5.

PubMed
Frequency and phenotype of SPG11 and SPG15 in complicated hereditary spastic par...
Frequency and phenotype of SPG11 and SPG15 in complicated hereditary spastic paraplegia.
J Neurol Neurosurg Psychiatry. 2009 Dec ;80(12):1402-4.

PubMed
E2F3 is a mediator of DNA damage-induced apoptosis.
E2F3 is a mediator of DNA damage-induced apoptosis.
Mol Cell Biol. 2010 Jan ;30(2):524-36. Epub 2009 Nov 16 .

PubMed
Antifibrotic effects of green tea on in vitro and in vivo models of liver fibros...
Antifibrotic effects of green tea on in vitro and in vivo models of liver fibrosis.
World J Gastroenterol. 2009 Nov 7 ;15(41):5200-5.

PubMed
Costimulatory molecule programmed death-1 in the cytotoxic response during chron...
Costimulatory molecule programmed death-1 in the cytotoxic response during chronic hepatitis C.
World J Gastroenterol. 2009 Nov 7 ;15(41):5129-40.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: