Results of medullary wiring of 145 fractures of the tibia shaft

  • N. Schwarz
  • B. Schneider


145 acute fractures of the tibial shaft treated by medullary wiring were reviewed retrospectively. 63 fractures were open, 33 belonging to Gustilo type II and III. 87% of the patients were operated on the day of the accident. There were no intraoperative complications. Fracture healing was delayed (>16 weeks) in 39% and failed in 8%. Soft tissue infection and wound healing problems were encountered in 14% of the patients, but there were no osseous infections. Clinical results more than two years after trauma were excellent and good in half of the patients. Medullary wiring of the tibia has a relatively high rate of bone union and wound problems and limited clinical results, but it is a simple and safe operation with a very low risk of deep infection.

Key words

Wiring Tibia Fractures 

Code Méary

0796.0 4794.0 

Résultats de l’embrochage centro-médullaire des fractures de la diaphyse tibiale A propos de 145 cas


145 fractures fraîches du tibia traitées par embrochage centro-médullaire ont été revues rétrospectivement. 63 étaient des fractures ouvertes, 33 correspondaient aux types Gustilo II et III. 87% des patients avaient été opérés le jour même du traumatisme. Il n’y avait eu aucune complication peropératoire. Dans 39% des cas, il y eut retard de consolidation et dans 8% des cas, pseudarthrose sèche. Dans 14% des cas, il y eut infection des tissus mous, mais aucune infection osseuse ne se produisit. Les résultats cliniques, avec plus de deux ans de recul, sont excellents et bons dans la moitié des cas. L’embrochage centro-médullaire a un taux assez important de problèmes de consolidation et donne des résultats cliniques plutôt limites, mais constitue néanmoins une intervention simple et sans grand risque infectieux.


Embrochage Tibia Fractures 


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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • N. Schwarz
    • 1
  • B. Schneider
    • 1
  1. 1.Unfallkrankenhaus MeidlingWienAutriche

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