Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (35): 6522-6526.doi: 10.3969/j.issn.1673-8225.2011.35.015

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Self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fractures

Ma Xue-hai1, Zheng Jin1, Zheng Sheng-nai2, Tang Cheng2, Xu Yan2   

  1. 1Department of Orthopedics, Chuzhou Hospital, Huaian  223200, Jiangsu Province, China
    2Department of Orthopedics, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing  210006, Jiangsu Province, China
  • Received:2011-06-01 Revised:2011-07-26 Online:2011-08-27 Published:2011-08-27
  • Contact: Zheng Sheng-nai, Doctor, Associate chief physician, Department of Orthopedics, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, Jiangsu Province, China superyqq@shou.com
  • About author:Ma Xue-hai, Associate chief physician, Department of Orthopedics, Chuzhou Hospital, Huaian 223200, Jiangsu Province, China maxuehaicz@sohu.com Zheng Jin, Associate chief physician, Department of Orthopedics, Chuzhou Hospital, Huaian 223200, Jiangsu Province, China zhengjincz@sohu.com Ma Xue-hai and Zheng Jin contributed equally to this paper.

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Abstract:

BACKGROUND: Because the operation technique of self-locking expandable intramedullary nail is relatively simple, it has some advantages in the treatment of simple closed tibial fracture.
OBJECTIVE: To investigate and discuss the feasibility and clinical outcome of self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fracture.
METHODS: In self-locking expandable intramedullary nail group, 15 cases were operated. In locking plate group, 16 cases were operated. Time of operation, the intra-operative blood loss, the rate of complications, time of leave bed, time of bone union, the KSS score of the knee were recorded.
RESULTS AND CONCLUSION: The time of operation and intra-operative blood loss in self-locking expandable intramedullary nail group were lower than those in locking plate group (P < 0.05), while the time of leave bed was shorter in the self-locking expandable intramedullary nail group (P < 0.05). There were no statistical differences in the perioperative or postoperative complications, the time of bone union, and the KSS score of the knee in the two group. It may be an appropriate technique for using self-locking expandable intramedullary nail to treat closed tibial shaft fracture.

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