Abstract | PURPOSE: METHOD: Thirty tibial fractured shafts with a delayed union or a high-energy tibial fractures which required early prophylaxis bone grafts were randomized to either percutaneous bone graft (n= 15) or open bone graft (n=15). One patient from the open bone graft group was lost to follow-up. Characteristics of the patients were similar in both groups. RESULTS: The mean length of follow-up was 2.5 years. Percutaneous bone graft technique was associated with significantly less blood loss (p<0.01) and shorter operative time (p<0.01). One patient in the percutaneous group had posterior tibial nerve palsy postoperatively, which recovered completely after 6 weeks. There were no differences in rate of union, healing time of the successful cases, postoperative pain and hospital stay. CONCLUSION: The percutaneous technique has effective results similar to the open technique in promoting union of tibial fractures. It should be considered as a useful alternative to the open bone graft technique.
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Authors | Jakravoot Maneerit, Surapoj Meknavin, Sukit Hanpanitkitkan |
Journal | Journal of the Medical Association of Thailand = Chotmaihet thangphaet
(J Med Assoc Thai)
Vol. 87
Issue 9
Pg. 1034-40
(Sep 2004)
ISSN: 0125-2208 [Print] Thailand |
PMID | 15516003
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Topics |
- Adolescent
- Adult
- Aged
- Bone Transplantation
(methods)
- Female
- Fracture Healing
- Fractures, Ununited
(diagnostic imaging, surgery)
- Humans
- Male
- Middle Aged
- Prospective Studies
- Radiography
- Statistics, Nonparametric
- Tibial Fractures
(diagnostic imaging, surgery)
- Treatment Outcome
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