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Trauma

REAMED OR UNREAMED NAILING FOR CLOSED TIBIAL FRACTURES

A PROSPECTIVE STUDY IN TSCHERNE C1 FRACTURES



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Abstract

We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment with reamed and unreamed intramedullary nails. Our results show that reamed nailing is associated with a significantly lower time to union and a reduced requirement for a further operation. Unreamed nailing should not be used in the treatment of the common Tscherne C1 tibial fracture.


Correspondence should be sent to Mr C. M. Court-Brown.

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