Double Segmental tibia fracture treated with intramedullary nail using multiple clamps technique to hold reduction: A case report and surgical technique

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yanin plumarom
Ong-art Phruetthiphat
Chonlapas Tungbutrawong


Segmental tibial fractures are considered to be a severe injury associated with high complication rate. This type is not common in clinical practice. This pattern is generally caused by a high-energy trauma associated with severe soft tissue injury, potentially leading to compromised circulation to the underlying bone. It is potential to have complication during surgical procedures and it is possible to have rotational displacement during reaming. This report presents a case of a male patient who had a closed fracture with double segmental pattern on right tibia treated by percutaneously open reduction and intramedullary nail fixation using multiple clamps technique for holding the reduction. The united fracture was occurred at twenty weeks and the patient regained full weight bearing. Radiographic healing was revealed at twenty weeks. Multiple clamps technique is able to reduce and maintain all segment to prevent rotational displacement before reaming and nailing, which could decrease complication during the procedure.


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รายงานผู้ป่วย (Case Report)


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