Tibial Shaft Fractures Flashcards
1
Q
What are the effects of non-reamed vs limited reamed vs standard reamed tibial IM nails?
A
- New bone formation and mineral apposition rates were similar at 11 weeks.
- Lowest porosity in limited-reamed group.
Also, loose nails showed higher cortical reperfusion rates over tight nails at insertion and 11 weeks.
2
Q
What percentage of tibial shaft fracture patients treated with IMN complain of knee pain?
A
60-75% and no appreciable difference between trans-tendonous and para-tendonous approach.
3
Q
What two factors have been shown to decrease infections rates in open tibial shaft fractures?
A
- Immediate prophylactic antibiotic administration
- Time to transfer to a definitive trauma center
