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• W1990284953 abstract "Objective: To evaluate the efficacy of intramedullary nailing in diaphyseal tibia fractures with distal intraarticular involvement. Design: Retrospective. Setting: Henry Ford Hospital, a level I trauma center. Patients/Participants: Twenty patients with twenty fractures at an average of twenty-two months of follow-up were evaluated. There were fifteen closed and five open fractures. Intervention: All fractures were stabilized with lag screw fixation (with or without supplemental plates) of the intraarticular-fracture extension or ankle fracture, and intramedullary nailing of the diaphyseal tibia fracture. Main Outcome Measurements: Time to bony union, malunion, knee and ankle range of motion, early arthrosis, and any complications of treatment were assessed. Results: Nineteen fractures healed, with an average time to bony union of seventeen weeks. One nonunion after a grade IIIB open fracture required exchange nailing and healed after sixty-two weeks. Nineteen fractures had excellent alignment after healing. There were no infections. Conclusions: The indications for intramedullary nailing of unstable diaphyseal tibia fractures may be extended to include certain fractures with distal extension into the ankle joint, as well in a tibial shaft fracture occurring in combination with a noncontiguous ipsilateral ankle fracture." @default.
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• W1990284953 date "1997-04-01" @default.
• W1990284953 modified "2023-10-17" @default.
• W1990284953 title "Intramedullary Nailing of Unstable Diaphyseal Fractures of the Tibia with Distal Intraarticular Involvement" @default.
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• W1990284953 doi "https://doi.org/10.1097/00005131-199704000-00011" @default.
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