Abstract
Accurate intra-operative reduction and maintenance of reduction is essential for successful
fixation of tibial fractures. Although many tibial fractures can be reduced with minimal
manipulation, numerous techniques have been described to facilitate fixation of more
difficult fractures. These include use of a traction table, manual traction techniques,
temporary distracters, reduction clamps and temporary unicortical plating. This article
reviews the literature and assesses the options available for the temporary reduction
and maintenance of reduction of tibial fractures prior to definitive fixation.
Keywords
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References
- Reduction plating for provisional fracture fixation.J Orthop Trauma. 2006; 20: 206-211
- Tibial nailing using an elementary Ilizarov frame.Ann R Coll Surg Engl. 2001; 83: 439
- IM nailing techniques: the use of the tenet fracture support for diaphyseal tibial and femoral fractures.Tech Orthop. 1998; 13: 79-88
- A technique for IM nailing of proximal third tibia fractures.J Orthop Trauma. 1997; 11: 218-223
- The use of the ankle arthroscopy strap during IM tibial nailing.Injury. 1999; 30: 72-73
- An atlas of closed nailing of the tibia and femur.Martin Nunitz, London1991
- Provisional plating of Type III open tibia fractures prior to IM nailing.J Orthop Trauma. 2005; 19: 412-414
- A prospective, randomized study of IM nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft.J Orthop Trauma. 2000; 14: 187-193
- Radiographic analysis of tibial fracture malalignment following IM nailing.Clin Orthop Relat Res. 1995; : 25-33
- The use of the ankle arthroscopy strap during IM tibial nailing.Injury. 1999; 30: 72-73
- Treatment of type II, IIIA, and IIIB open fractures of the tibial shaft: a prospective comparison of unreamed interlocking IM nails and half-pin external fixators.J Orthop Trauma. 1998; 12: 1-7
- Patient positioning for closed locked tibial nailing.Injury. 1990; 21: 193-194
- Fine wire frame-assisted IM nailing of the tibia.J Orthop Trauma. 2003; 17: 222-224
- Provisional unicortical plating with reamed intramedullary nailing in segmental tibial fractures involving the high proximal metaphysis.Orthopedics. 2007; 30: 189-192
- A technique for nailing severely shortened and displaced tibia fractures.J Orthop Trauma. 2008; 22: 138-141
- The effect of traction on compartment pressures during IM nailing of tibial-shaft fractures. A prospective randomised trial.Int Orthop. 2005; 29: 186-190
- A traction technique for IM nailing of tibial fractures.Injury. 1996; 27: 733-734
- A prospective, randomized clinical trial comparing tibial nailing using fracture table traction versus manual traction.J Orthop Trauma. 1999; 13: 463-469
- IM nailing of the tibia without a fracture table: the transfixion pin distractor technique.J Orthop Trauma. 1994; 8: 195-202
- A device for improved reduction of tibial fractures treated with external fixation.Proc Inst Mech Eng. 2000; 214: 449-457
- Maintaining reduction during unreamed nailing of a segmental tibial fracture: the use of a Farabeuf clamp.Injury. 2003 May; 34: 389-391
- IM interlocked tibia nailing: a new technique.J Orthop Trauma. 1992; 6: 90-95
- Sanders R. Trauma: core knowledge in orthopaedics. Mosby Elsivier, Philadelphia2008: 332
- A positioning technique for closed intramedullar nailing of tibia fractures.J Trauma. 2008; 64: 1408-1411
- Compartmental pressure changes during calcaneal traction in tibial fractures.J Bone Joint Surg Br. 1982; 64: 498-499
- Simple traction system for closed IM nailing of the tibia.Injury. 1989; 20: 226
- Treatment of distal tibia fractures without articular involvement: a systematic review of 1125 fractures.J Orthop Trauma. 2006; 20: 76-79
Article info
Publication history
Accepted:
July 12,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
