Prospective Comparison of Unreamed Interlocking IM Nails versus Half-pin External Fixation in Open Tibial Fractures

Santoro, Vincent M.; Henley, M. Bradford; Benirschke, Stephen K.; Mayo, Keith A.

doi:10.1097/00005131-199105020-00078

Cited by 17 publications

(7 citation statements)

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“…This complication can be lessened through exact centering of the tip of the nail in the middle of the distal The revision rate of 6.8% for open fractures in this study is exceedingly good. This rate is better than revision rates published for those fractures treated with external fixators [2,3,10,16,18,19,24].…”

Section: Discussionmentioning

confidence: 64%

The unreamed tibia nail

Markmiller

Tjarksen

Mayr

et al. 2000

Langenbeck's Arch Surg

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In the last 10 years, traumatologists have become more aware of the importance of blood supply to fracture fragments for both the healing of fractures and prevention of infection. Due to our experience with fractures having severely disrupted periosteal blood supply, we are looking more critically at intramedullary reamed nailing as a treatment option. This research was a result of our increased knowledge of the interplay between periosteal and endosteal blood supply.

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Section: Discussionmentioning

confidence: 64%

The unreamed tibia nail

Markmiller

Tjarksen

Mayr

et al. 2000

Langenbeck's Arch Surg

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“…The weighted kappa statistics on overall agreement, based upon the application of study inclusion criteria to study titles, was 0.82 (95% confidence interval (CI) 0.79 to 0.85). We excluded one of these studies 29 because it described the same patients as in a subsequent report, and another three because there was no randomisation. [30][31][32] This left five studies comparing external fixation with unreamed IM nailing, two articles comparing reamed and unreamed IM nailing and one comparing plate fixation with external fixation.…”

Section: Resultsmentioning

confidence: 99%

Treatment of open fractures of the shaft of the tibia

Bhandari

Guyatt

Swiontkowski

et al. 2001

The Journal of Bone and Joint Surgery

231

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We have systematically reviewed the effect of alternative methods of stabilisation of open tibial fractures on the rates of reoperation, and the secondary outcomes of nonunion, deep and superficial infection, failure of the implant and malunion by the analysis of 799 citations on the subject, identified from computerised databases. Although 68 proved to be potentially eligible, only eight met all criteria for inclusion. Three investigators independently graded the quality of each study and extracted the relevant data. One study (n = 56 patients) suggested that the use of external fixators significantly decreased the requirement for reoperation when compared with fixation with plates. The use of unreamed nails, compared with external fixators (five studies, n = 396 patients), reduced the risk of reoperation, malunion and superficial infection. Comparison of reamed with unreamed nails showed a reduced risk of reoperation (two studies, n = 132) with the reamed technique. An indirect comparison between reamed nails and external fixators also showed a reduced risk of reoperation (two studies) when using nails. We have identified compelling evidence that unreamed nails reduced the incidence of reoperations, superficial infections and malunions, when compared with external fixators. The relative merits of reamed versus unreamed nails in the treatment of open tibial fractures remain uncertain.

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“…19 Santoro et al found a non -union rate of 3% in 33 patients, a malunion rate of 9% an infection rate of 3%, nail breakage in 65 and two screws that broke. 24 In the current series the implants failed infrequently, and locking screws were broken in one tibiae (4.16%), but the breakage did not result in a loss of reduction on the basis of this study, we now recommend dynamisation of most statically locked nails at 8-12 weeks if callus is not evident to promote fracture union and to avoid fracture of the inter locking screws. Our results were comparable with other series of studies.…”

Section: Resultsmentioning

confidence: 54%

“…This study involved both male and female patients with open fractures of tibia, who presented to Narayana General Hospital. 24 patients who had open fractures of tibial shaft were treated with wound debridement and interlocking intramedullary nailing without reaming during the period from July 2012 to May 2014. All the cases were fresh fractures and were traumatic in nature.…”

Section: Methodsmentioning

confidence: 99%

A Study of the Management of Open Fractures of Tibia by Unreamed Interlocking Nail

K¹

2015

jemds

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Prospective Comparison of Unreamed Interlocking IM Nails versus Half-pin External Fixation in Open Tibial Fractures

Cited by 17 publications

References 0 publications

The unreamed tibia nail

The unreamed tibia nail

Treatment of open fractures of the shaft of the tibia

A Study of the Management of Open Fractures of Tibia by Unreamed Interlocking Nail

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