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Published: 2026-06-29
Abstract Views: 9
DOI: https://doi.org/10.52163/yhc.v67iCD7.5625
Issue
Vol. 67 No. CĐ7- Trường ĐH Y Dược Hải Phòng
Section
Articles
How to Cite
Long, N. T., Tuấn, P. N., Thanh, T. Đình, & Tuấn, N. M. (2026). EVALUATION OF THE TREATMENT OUTCOMES OF CLOSED TIBIAL SHAFT FRACTURES USING LOCKED INTRAMEDULLARY NAILING UNDER FLUOROSCOPIC GUIDANCE. Vietnam Journal of Community Medicine, 67(CĐ7- Trường ĐH Y Dược Hải Phòng). https://doi.org/10.52163/yhc.v67iCD7.5625

EVALUATION OF THE TREATMENT OUTCOMES OF CLOSED TIBIAL SHAFT FRACTURES USING LOCKED INTRAMEDULLARY NAILING UNDER FLUOROSCOPIC GUIDANCE

Nguyen Thanh Long1, Pham Ngoc Tuan2, Trinh Dinh Thanh3, Nguyen Minh Tuan4
1 Ky Anh Town General Hospital, Ha Tinh Province
2 Hoa Binh General Hospital, Phu Tho Province
3 Hai Phong University of Medicine and Pharmacy
4 Ha Tinh Provincial General Hospital, Ha Tinh Province

Main Article Content

Abstract

Objective: To evaluate the treatment outcomes of closed tibial shaft fractures using locked intramedullary nailing under fluoroscopic guidance at Ha Tinh Provincial General Hospital.


Subjects and Methods: A descriptive study was conducted on 80 patients with closed tibial shaft fractures treated with locked intramedullary nailing under fluoroscopic guidance at Ha Tinh Provincial General Hospital. The study variables included epidemiological characteristics, injury characteristics, surgical features, time to bone union, bone union outcomes, functional outcomes according to the Johner–Wruhs criteria, and postoperative complications.


Results: Most patients were over 50 years old (47.5%), with males accounting for 56.3%. The main causes of injury were occupational accidents (42.5%) and traffic accidents (33.8%). Fractures most commonly occurred at the middle third of the tibial shaft (42.5%), and most fractures were comminuted with three or more fragments (65.0%). The mean time to bone union was 22 ± 7.3 weeks. The rate of good bone union was 77.5%, and no cases of nonunion were recorded. Excellent and good functional outcomes accounted for 96.3% according to the Johner–Wruhs criteria. Most patients had no postoperative complications (67.5%).


Conclusion: Locked intramedullary nailing under fluoroscopic guidance is an effective and safe method for treating closed tibial shaft fractures, providing a high bone union rate, good functional recovery, and a low complication rate.

Article Details

Keywords

tibial shaft fracture, locked intramedullary nailing, fluoroscopic guidance, treatment outcomes.

References

1. Court-Brown CM, Caesar B. Epidemiology of adult fractures. 2006;37(8):691-697. DOI: 10.1016/j.injury.2006.04.130
2. Bhandari M, Guyatt G, Tornetta P. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg Am. 2008;90:2567-2578. DOI: 10.2106/JBJS.G.01694
3. Court-Brown CM, McQueen MM, Tornetta P. Trauma.: Rockwood and Green’s Fractures in Adults. Lippincott Williams & Wilkins; 2015.
4. Busse JW, Bhandari M, Guyatt GH. Reamed versus unreamed intramedullary nailing for tibial fractures. J Orthop Trauma. 2008;22(7):489-493. DOI:10.1097/BOT.0b013e31817e47c5
5. Wiss DA, Stetson WB. Unstable fractures of the tibia treated with intramedullary nailing. Clin Orthop Relat Res. 1995;315:56-63.
6. Busse JW, Morton E, Lacchetti C. Current management of tibial shaft fractures. Injury. 2017;48:S10-S13. DOI: 10.1016/S0020-1383(17)30478-1
7. Johner R, Wruhs O. Classification of tibial shaft fractures and functional outcome. Clin Orthop Relat Res. 1983;178:7-25.
8. Larsen P, Elsoe R, Hansen SH, et al. Incidence and epidemiology of tibial shaft fractures. Injury. 2015;46(4):746–750. DOI: 10.1016/j.injury.2014.12.027
9. Larsen P, Elsoe R, Hansen SH, et al. Intramedullary nailing of tibial shaft fractures: results from a Danish nationwide registry. Acta Orthopaedica. 2015;86(6):718–724.
DOI: 10.3109/17453674.2015.1073797
10. Hadeed MM, Ricci WM, Obremskey WT. Current concepts review: intramedullary nailing of tibial shaft fractures. Journal of the American Academy of Orthopaedic Surgeons. 2021;29(9):e435–e445. DOI: 10.5435/JAAOS-D-20-00355