Abstract |
We treated 36 open tibial fractures (32 patients) by primary intramedullary nailing and debridement and treatment of open wounds. There were 13 grade I, 14 grade II and 9 grade III according to Gustilo-Anderson classification. After a minimum follow-up of 8 months, there were two cases of superficial infection and one of deep infection. Thirty-one fractures united within 6 months with a mean period to union of 22 weeks. There were four delayed unions and one non-union. There was a longer union time and a higher rate of delayed or non-union in the complex and/or comminuted grade IIIB fractures. Intramedullary nailing, with appropriate soft-tissue treatment, gives good results in the treatment of open tibial fractures.
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Authors | R K Shah, H D Moehring, R P Singh, A Dhakal |
Journal | International orthopaedics
(Int Orthop)
Vol. 28
Issue 3
Pg. 163-6
(Jun 2004)
ISSN: 0341-2695 [Print] Germany |
PMID | 14714143
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Female
- Fracture Fixation, Intramedullary
(methods)
- Fractures, Comminuted
(surgery)
- Fractures, Open
(surgery)
- Humans
- Male
- Middle Aged
- Tibial Fractures
(surgery)
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