Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. A prospective, randomized study.

P. A. Blachut; P. J. O'Brien; R. N. Meek; H. M. Broekhuyse

doi:10.1055/s-2005-919131

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Orthopedic Trauma Directions 2005; 3(5): 25-29
DOI: 10.1055/s-2005-919131

Classic article review

Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. A prospective, randomized study.

J Bone Joint Surg Am, 79 (5): 640 - 646P. A. Blachut, P. J. O'Brien, R. N. Meek, H. M. Broekhuyse

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Publication Date:
02 January 2006 (online)

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Author summary

Nailing without reaming in this trial was not associated with a lower infection rate or a better rate of union. In fact, the results suggest a trend toward a higher rate of nonunion. There are no major advantages to nailing without reaming as compared with nailing with reaming for the treatment of closed fractures of the shaft of the tibia.