Analysis of the stabilization of Gustillo grade I and II open tibia fractures in the acute stage
Abstract
Introduction: The internal fixation of leg fractures exposed in acute, that is, within 24 hours of trauma is quite controversial. The objective of this work is to assess infections associated with acute intramedullary nailing fixation —versus deferred fixation— of Gustilo type I and II open fractures. Patients and Methods: A retrospective cohort study was conducted of the acute treatment of patients with open leg fractures admitted to the hospital between 2015 and 2018. The infection rate was analyzed during the first 6 postoperative months after intramedullary nailing, and acute fixation patients were compared against deferred fixation patients. Results: Acute internal fixation with intramedullary nail in patients with open leg fractures does not increase, but decreases, the infection rate in the postoperative control. Conclusion: The study supports acute intramedullary nailing in patients with open tibial fractures. Level of Evidence: IIDownloads
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