EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES: A RANDOMISED, PROSPECTIVE TRIAL

P. Antich-Adrover; D. Martí-Garin; J. Murias-Alvarez; C. Puente-Alonso

doi:10.1302/0301-620X.79B3.0790433

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Trauma

EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES

A RANDOMISED, PROSPECTIVE TRIAL

P. Antich-Adrover
D. Martí-Garin
J. Murias-Alvarez
C. Puente-Alonso

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EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES

Antich-Adrover P, Martí-Garin D, Murias-Alvarez J, Puente-Alonso C. EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES. J Bone Joint Surg Br. 1997;79-B(3):433-437. doi:10.1302/0301-620X.79B3.0790433

Antich-Adrover, P., et al. “EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume, vol. 79-B, no. 3, 1997, pp. 433-437., https://doi.org/10.1302/0301-620X.79B3.0790433

Antich-Adrover, P., Martí-Garin, D., Murias-Alvarez, J., & Puente-Alonso, C. (1997). EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES. The Journal of Bone & Joint Surgery British Volume, 79-B(3), 433-437. https://doi.org/10.1302/0301-620X.79B3.0790433

Antich-Adrover, P., Martí-Garin, D., Murias-Alvarez, J. and Puente-Alonso, C. (1997) “EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume, 79-B(3), pp. 433-437. Available at: https://doi.org/10.1302/0301-620X.79B3.0790433

Antich-Adrover, P., D. Martí-Garin, J. Murias-Alvarez, and C. Puente-Alonso. “EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume 79-B, no. 3 (1997): 433-437. https://doi.org/10.1302/0301-620X.79B3.0790433

Antich-Adrover P, Martí-Garin D, Murias-Alvarez J, Puente-Alonso C. EXTERNAL FIXATION AND SECONDARY INTRAMEDULLARY NAILING OF OPEN TIBIAL FRACTURES. J Bone Joint Surg Br. 1997 May 1;79-B(3):433-437. https://doi.org/10.1302/0301-620X.79B3.0790433

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Abstract

We performed a prospective, randomised trial in 39 patients with open tibial fractures treated initially by external fixation to compare cast immobilisation (group A) and intramedullary nailing (group B) as a sequential protocol planned from the onset of treatment.

The results showed that group B achieved faster union (p < 0.05) than group A with less malunion or shortening and a greater range of movement. Patients treated by intramedullary nailing required fewer radiographs and outpatient visits (p = 0.0015) and had a more predictable and rapid return to full function.

We feel that these severe fractures are better treated by delayed intramedullary nailing and that this has an acceptable rate of complications.

Correspondence should be sent to Dr P. Antich-Adrover.

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