Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jan 2010
Randomized Controlled TrialSingle or double distal locking in intramedullary nailing of tibial shaft fractures: a prospective randomized study.
The number of distal locking screws may have an effect on union, complication rates and operation time. The purpose of this study was to determine the effect of one or two distal locking screws in unreamed intramedullary nailing of closed or grade 1 open, simple or wedge tibial shaft fractures on the incidence of malunion, delayed union, non-union, and screw failure. ⋯ For non-complex, closed or grade 1 open tibial shaft fractures, locking of an intramedullary nail with a single distal screw is safe, and may help to decrease operation time and radiation exposure.