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Biomechanical comparison of locked plate osteosynthesis, reamed and unreamed nailing in conventional interlocking technique, and unreamed angle stable nailing in distal tibia fractures.
Hoegel, FW; Hoffmann, S; Weninger, P; Buhren, V; Augat, P
J Trauma Acute Care Surg. 2012; 73(4):933-938
Originalarbeiten (Zeitschrift)


Augat Peter
Hoffmann Stefanie


The treatment of distal tibia shaft fractures is still problematic because of the thin soft tissue envelope and less stable osteosynthesis. Therefore, nonunions are often seen in this region. When reamed nailing is performed, construct stiffness can be increased and fracture gap movement can be reduced, but in open fractures the question whether reamed nailing is before unreamed nailing is still uncertain. Therefore, unreamed nails with angle stable interlocking options were produced with the idea to improve the biomechanical properties of unreamed nails. This study compared reamed and unreamed nailing either with angle stable or conventional interlocking to plate osteosynthesis. The hypothesis was that angular stability in unreamed nailing will increase the construct stiffness and reduce the fracture gap movement.

Useful keywords (using NLM MeSH Indexing)

Biomechanical Phenomena

Bone Nails*

Bone Plates*

Fracture Fixation, Intramedullary/methods*

Fracture Healing


Models, Biological*

Prosthesis Design

Tibial Fractures/surgery*

Find related publications in this database (Keywords)

Intramedullary nailing
fracture healing
locked plating
distal tibia