Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type IIIB open tibial fractures: A report of four successful cases

Injury ◽  
2007 ◽  
Vol 38 (2) ◽  
pp. 251
Author(s):  
K. Yokoyama
2007 ◽  
Vol 15 (2) ◽  
pp. 131-136 ◽  
Author(s):  
HJ Park ◽  
M Uchino ◽  
K Nakamura ◽  
M Ueno ◽  
Y Kojima ◽  
...  

Purpose. To compare immediate interlocking nailing with external fixation followed by delayed interlocking nailing, for Gustilo type IIIB open tibial fractures. Methods. 23 patients with Gustilo IIIB open tibial fractures were treated with either immediate unreamed interlocking nailing (n=9) or external fixation followed by delayed unreamed interlocking nailing (n=14). Patient age, sex ratio, fracture site, fracture type, and severity were similar in both groups. The time to union, deep infection rate, and nonunion rate in the 2 groups were compared. Results. In the immediate and delayed nailing groups, respective mean times to union were 21 (standard deviation [SD], 14) months and 14 (SD, 8) months; nonunion rates were 44% (4/9) and 36% (5/14), and deep infection rates were 22% (2/9) and 7% (1/14). All corresponding differences were not statistically significant. Conclusion. Prospective, randomised, multicentre studies are needed to assess whether there are significant differences between the 2 treatment methods.


1997 ◽  
Vol 79-B (3) ◽  
pp. 433-437 ◽  
Author(s):  
P. Antich-Adrover ◽  
D. Martí-Garin ◽  
J. Murias-Alvarez ◽  
C. Puente-Alonso

1992 ◽  
Vol 85 (Supplement) ◽  
pp. 3S-73
Author(s):  
D. Bhatia ◽  
R. H. Jinnah ◽  
M. Mont ◽  
P. R. Brown ◽  
M. J. Curtis ◽  
...  

2020 ◽  
Vol 102 (10) ◽  
pp. 896-905 ◽  
Author(s):  
Billy T. Haonga ◽  
Max Liu ◽  
Patrick Albright ◽  
Sravya T. Challa ◽  
Syed H. Ali ◽  
...  

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