Open grade III fractures of tibia: outcome after early unreamed intramedullary nailing
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Daljit Singh Rajnish Garg J. L. Bassi Shekhar Singal
- چاپ و سال / کشور: 2010
Description
Open grade III fractures of tibia are challenging therapeutic problem even to experienced surgeons. Method for skeletal stabilization of these fractures remained a topic of controversy. One hundred and two patients with 103 open grade III fractures of tibia were included in the study. They were treated with early unreamed intramedullary nailing with the adequate management of soft tissue. Patients were reviewed retrospectively. Mean time of union was 35 weeks. Six tibial fractures had nonunion. Infection rate was 14% in open grade III tibial fractures. No case of angular or rotational deformity was noted. In conclusion, early unreamed intramedullary nailing for open grade III fractures of tibia after giving due respect to the soft tissue injury gives good outcome with proper alignment, good range of motion, short rehabilitation period and low infection rate.
Eur J Orthop Surg Traumatol (2011) 21:321–325 DOI 10.1007/s00590-010-0711-8 Received: 13 July 2010 / Accepted: 28 September 2010 / Published online: 16 October 2010
