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Current practice in the intramedullary nailing of tibial shaft fractures: an international survey.

著者 Bhandari M , Guyatt GH , Tornetta P , Swiontkowski MF , Hanson B , Sprague S , Syed A , Schemitsch EH
J Trauma.2002 Oct ; 53(4):725-32.
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Department of Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. bhandari@netinc.ca

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Tibial fractures are the most common of all long bone fractures. Although many tibial fractures may be managed conservatively, a certain subset, including unstable fractures and open fractures, require operative stabilization. Intramedullary nails have become the popular choice of implant in the treatment of tibial shaft fractures. The variability in outcomes with tibial shaft fractures may reflect technical aspects of the surgical procedure and perioperative care regimens among surgeons. Identifying the distribution of surgeons' preferences in nailing technique, and the rationale for their choices, will aid in focusing educational activities for the orthopedic community and planning future clinical trials. Our objectives were to clarify surgeons' opinions regarding technical aspects of surgery and perioperative care after intramedullary nailing of closed and open tibial shaft fractures, and to identify predictors of surgeons' preferences in technique and perioperative care.
PMID: 12394874 [PubMed - indexed for MEDLINE]
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