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Backstroke technique: an effective way to improve the healing of tibia fracture

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Abstract

To assess the method and results of applying a backstroke technique, we treated 43 patients with tibial shaft fracture using unreamed tibial nails (UTN). Of these patients, 27 suffered a closed fracture and 16 an open fracture. After the operation, the effect of treatment was evaluated: 42 of 43 cases were followed up from four to 18 months, averaging 13.6 months. The four-month and 12-month healing rates of open fracture were 54.6 and 80.9%, respectively, the former of which is significantly higher than the average rate of the AO/ASIF multicentre study. Our results indicate that applying a backstroke technique in treating tibial shaft fracture with UTN can improve the healing rate and reduce complications.

Résumé

Résumé: Afin d’apprécier la méthode et le résultat du traitement des fractures de la diaphyse tibiale avec un clou d’alignement, nous avons opéré 43 patients présentant une fracture de ce type. Parmi tous ces patients, 27 présentaient une fracture fermée, 16 une fracture ouverte. Après opération, les résultats du traitement ont été évalués. 42 patients sur 43 ont été suivis de 4 à 18 mois avec une moyenne de 13,6 mois. Le taux de consolidation des fractures à 4 mois et un an était respectivement de 54,6% et 80,9%. Ce taux est nettement supérieur à celui de l’étude multicentrique de l’AO/ASIF. Notre étude prouve que cette technique dans le traitement des fractures tibiales à l’aide d’un clou d’alignement UTN peut améliorer la consolidation et diminuer le nombre de complications.

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Correspondence to Qi Lee.

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Lee, Q., Zeng, Bf., Luo, CF. et al. Backstroke technique: an effective way to improve the healing of tibia fracture. International Orthopaedics (SICOT) 30, 329–332 (2006). https://doi.org/10.1007/s00264-006-0090-2

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  • DOI: https://doi.org/10.1007/s00264-006-0090-2

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