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Title: Surgical Implant Generation Network (SIGN) intramedullary nailing of open fractures of the tibia. Author: Shah RK, Moehring HD, Singh RP, Dhakal A. Journal: Int Orthop; 2004 Jun; 28(3):163-6. PubMed ID: 14714143. Abstract: We treated 36 open tibial fractures (32 patients) by primary intramedullary nailing and debridement and treatment of open wounds. There were 13 grade I, 14 grade II and 9 grade III according to Gustilo-Anderson classification. After a minimum follow-up of 8 months, there were two cases of superficial infection and one of deep infection. Thirty-one fractures united within 6 months with a mean period to union of 22 weeks. There were four delayed unions and one non-union. There was a longer union time and a higher rate of delayed or non-union in the complex and/or comminuted grade IIIB fractures. Intramedullary nailing, with appropriate soft-tissue treatment, gives good results in the treatment of open tibial fractures. Nous avons traité 36 fractures ouvertes du tibia (32 malades) par enclouage centromédullaire et débridement des plaies. Il y avait 13 grades I, 14 grades II et 9 grades III selon la classification de Gustilo-Anderson. Après un minimum de suivi de 8 mois il y avait deux cas d’infection superficielle et un d’infection profonde. 31 fractures ont consolidé en moins de 6 mois avec un délai moyen de 22 semaines. Il y avait quatre retards de consolidation et une non—consolidation. Il y avait un délai de consolidation plus long et un taux plus élevé de consolidation retardé ou de non consolidation dans les fractures complexes et/ou comminutives de grade IIIB. L’enclouage centromédullaire avec traitement approprié des lésions des parties molles, donne de bons résultats dans le traitement des fractures tibiales ouvertes.[Abstract] [Full Text] [Related] [New Search]