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General Orthopaedics

EXPANDABLE FIXION NAIL SYSTEM AS A SUCCESSFUL TREATMENT OPTION FOR CLOSED TIBIAL DIAPHYSEAL FRACTURE

The Indian Orthopaedic Society (UK) (IOSUK)



Abstract

Introduction

We retrospectively evaluated our five years' experience in using Expandable Fixion nail system in tibial diaphyseal fractures.

Materials/Methods

Eighteen cases with closed tibial diaphyseal fracture were identified between January 2006 and January 2011, all treated successfully with Fixion intramedullary nail as a primary osteosynthesis device.

Results

All patients were followed-up in our department until clinical and radiological fusion was achieved with a mean follow-up of 13 months (range 6–20 months). There was one asymptomatic delayed union at 13 months, treated with regular observation until fusion was achieved. There was no incidence of infection, compartment syndrome or non-union in this group.

Conclusion

We conclude from our experience that Expandable Fixion Nail is as effective as traditional locking intramedullary nail system in treating closed tibial shaft fracture with the advantages of shorter theatre time and less radiation exposure.