Erschienen in:
01.06.2004 | Original Paper
Surgical Implant Generation Network (SIGN) intramedullary nailing of open fractures of the tibia
verfasst von:
R. K. Shah, H. D. Moehring, R. P. Singh, A. Dhakal
Erschienen in:
International Orthopaedics
|
Ausgabe 3/2004
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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.