Reamed or unreamed nailing for closed tibial fractures. A prospective
study in Tscherne C1 fractures [see comments]. Court-Brown CM. Will E. Christie J. McQueen MM. Journal of Bone & Joint Surgery - British Volume. 78(4):580-3, 1996 Jul. We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment with reamed and unreamed intramedullary nails. Our results show that reamed nailing is associated with a significantly lower time to union and a reduced requirement for a further operation. Unreamed nailing should not be used in the treatment of the common Tscherne C1 tibial fracture.
Original Text by Clifford R. Wheeless, III, MD.
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