J Korean Fract Soc.  2001 Oct;14(4):632-642.

Comparison of External Fixation and Interlocking IM Nail in Open Tibial Fractures

• Chung HJ
• Kim DK
• Sung YB
• Ahn JG

Abstract

PURPOSE
To compare and analyze the results of the treatment based on the method of treatment between interlocking IM nail and external fixation of type II, III A, and III B open fractures of the tibia] shaft.
MATERIALS AND METHODS
A clinical analysis was performed on 57 cases of type II, III A, and III B open fractures of tibial shaft from January 1994 to October 1999 those studies are followed at least 1 year or more. The results was analyzed according to complications and functional results based on operative methods of types of open fractures.
RESULTS
In aspect of delayed union and nonunion, interlocking IM nail indicate a great results(p = 0.036) in type II. In angulation, interlocking IM nail marks an outstanding results in case of type II. There is no difference between interlocking IM nail and external fixation in infection. But, the delay of operation after injury increase the possibilities of infection.
CONCLUSION
At present, especially in type m, external fixation was preferred. But, interlocking IM nail has a good results in aspect of complications. Therefore unreamed intramedullary nailing for open tibia shaft fractures is a good treatment method to be recommended.

Keyword

Open tibial fracture; External fixation; Unreamed intermedullary nailing

MeSH Terms

Fracture Fixation, Intramedullary
Fractures, Open
Methods
Tibia
Tibial Fractures*