• Der Unfallchirurg · Aug 2002

    Case Reports

    [Retrograde tibial intramedullary nailing with the Flex Nail--treatment of tibial fracture in an unusual case].

    • F Wagner, W Schaudig, and R Bauer.
    • Abteilung für Unfall- und Wiederherstellungschirurgie, Chirurgische Klinik, Klinikum St. Marien, Mariahilfbergweg 7, 92224 Amberg. wagner.frank@klinikum-amberg.de
    • Unfallchirurg. 2002 Aug 1; 105 (8): 740-3.

    AbstractWe report a case by a 75 year old female patient suffering a third-degree open fracture of the shinbone with a severe damage of the soft tissue. Primary operation was a temporary fixation with a fixateur externe and a radical debridement of the soft tissue with vacuum-sealing. Ten days later we did the definitive surgery. Osteosynthesis was done by a retrograd nailing with the flexible unreamed humerus nail (Flex-Nail) through the medial ankle. The defect of the soft tissue was treated by a muscle flap and meshgraft transplantation. Healing of the soft tissue and beginning consolidation of the fracture comes after 4 months. In our opinion the retrograd inserted Flex-Nail is a good option for treatment of compound fractures of the lower leg in special cases.

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