Abstract
Application of locked intramedullary nailing in diaphy-seal tibia open fracture after removal of external fixation has a risk of infection.
We have treated 13 patients in 2 years, 2001–2002 (affected by Gustilo 3B open fractures) with this method: 9 before 4 weeks after emergency stabilization and 4 before 5 weeks. Patients were followed for at least 1 year after the second osteosynthesis.
The bone healing was obtained 5 months after 2 osteo-synthesis: we have observed 3 superficial infections(l in the first group and 2 in the second) and 2 deep infections(in the second group). We haven’t observed cronic osteomyelitis.
We recommend to convert external fixation in intra-medullary nail before 4 weeks by trauma to avoid infectious risk.
The abstracts were prepared by editorial secretary, Mrs K. Papastefanou. Correspondence should be addressed to Professor K.N. Malizos, Department of Orthopaedic Surgery, School of Medicine, University of Thessalia, Larissa, 41222 GREECE
