A Technique for Intramedullary Nailing of Proximal Third Tibia Fractures : Journal of Orthopaedic Trauma

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A Technique for Intramedullary Nailing of Proximal Third Tibia Fractures

Buehler, Knute C.; Green, James; Woll, T. Scott; Duwelius, Paul J.

Author Information

Division of Orthopaedics and Rehabilitation, Oregon Health Sciences University, Portland, Oregon, U.S.A.

Accepted January 6, 1997.

Address correspondence and reprint requests to Dr. Paul J. Duwelius, Division of Orthopaedics and Rehabilitation, Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, L477, Portland, OR 97201-3098, U.S.A.

Journal of Orthopaedic Trauma 11(3):p 218-223, April 1997.

Abstract

Twelve of 14 proximal third tibial shaft fractures were successfully treated with a new technique for intramedullary nailing of these fractures. The average anterior displacement was 3.0 mm (range 0-17). The average coronal plane alignment was 2.0° valgus (range 2° varus to 12° valgus). There was one nonunion. The technique's success is dependent on neutralizing the primary factors causing malreduction: wide effective diameters of tibial nails, narrow diameter of the medial tibial metaphysis, and a posteriorly directed sagittal plane entrance angle.

© Lippincott-Raven Publishers

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