Tibial Malalignment Is an Independent Predictor of Nonunion After Intramedullary Nailing of Tibial Shaft Fractures.

ABSTRACT:

Objectives

This study aimed to assess the relationship between postoperative alignment and nonunion in patients with tibial shaft fractures treated with intramedullary nailing.

Methods

Design

Retrospective case-control study.

Setting

Single academic trauma center.

Patients selection criteria

Adult patients with closed or open tibial shaft fractures (42A-C) treated with intramedullary nailing from 2007 to 2018.

Outcomes measures and comparisons

Case patients with nonunion were compared with control patients with radiographic evidence of healing in terms of the postoperative tibial alignment measured in the coronal and sagittal planes.

Results

Of the 192 included patients (median age, 38 years; 76% male), 51 patients had a nonunion, and 141

SUBMITTER: Goch A 

PROVIDER: S-EPMC11772117 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature