Analysis of delayed fracture healing following unreamed tibial nailing [Elektronische Ressource] / Khaled Hamed Salem

Universitätsklinikum Ulm Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie Ärztlicher Direktor: Prof. Dr. med. Lothar Kinzl Analysis of Delayed Fracture Healing following Unreamed Tibial Nailing Dissertation submitted for the obtainment of the Doctoral degree in Medicine from Faculty of Medicine University of Ulm By Khaled Hamed Salem from Cairo, Egypt 2004 Amtierender Dekan: Prof. Dr. med. Klaus-Michael Debatin 1.Berichterstatter: Prof. Dr. med. Florian Gebhard 2.Berichterstatter: PD Dr. med. Alexander Brinkmann Tag der Promotion: 22.10.2004 To My Parents Index 1. Introduction 1 2. Materials and Methods: 4 2.1. Patient Population 4 2.2. Fracture Classification 5 2.3. Mechanism of Injury 10 2.4. Associated Injuries 11 2.5. Preoperative Evaluation 13 2.6. Timing of Surgery 15 2.7. Surgical Technique 16 2.8. Postoperative Protocol 23 2.9. Statistical Analysis 25 3. Results: 26 3.1. Fracture Union 27 3.2. Variables affecting Fracture Union 32 3.3. Complications 50 4. Discussion 60 5. Summary 84 6. References 86 7. Aknowledgement 97 8.