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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2006 April;57(2):37-40

language: Italian

Non-union of tibial shaft fractures: external fixation followed by intra-medullary nailing

Ruiu G. A., Sanna P., Guala A.

U.O. di Ortopedia e Traumatologia Ospedale “S. Martino”, ASL 5, Oristano


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In this review the authors examined 10 cases of aseptic nonunion of tibial shaft fractures, as a complication to open fractures initially treated using monoaxial external fixator. All nonunion consolidated removing the external fixator, after an average of 6 months, and performing a locked intramedullary nailing (Grosse-Kempf nail). Closed nailing of the tibia, with reaming, was preferred. Early load-bearing was allowed and healing occurred in all of the cases after an average of 5,5 months.

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