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International Orthopaedics
Published in: International Orthopaedics 4/2004

01-08-2004 | Original Paper

Intramedullary nailing in open tibia fractures: a comparison of two techniques

Authors: Bruce H. Ziran, M. Darowish, B. A. Klatt, J. F. Agudelo, W. R. Smith

Published in: International Orthopaedics | Issue 4/2004

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Abstract

We analyzed 51 patients with open tibial fractures treated with intramedullary nailing. In 29 patients the nailing was performed without reaming and in 22 after the “reamed-to-fit” technique. There was no statistically significant difference in the rate of union. The nonreamed group required a greater number of secondary procedures to achieve union and had a higher but not statistically significant incidence of infection. Analysis of the operative and anesthesia cost associated with the additional procedures revealed that on average, patients receiving nonreamed nailing incurred a cost of $4,900 more per fracture than patients of the reamed-to-fit technique. The healing rates of open tibia fractures using either minimally reamed or nonreamed techniques of intramedullary nailing are comparable. No increase in the rate of infection with the reamed-to-fit technique was found. A significant increase in the number of secondary procedures required to achieve union was found with the nonreamed nailing technique.
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Metadata
Title
Intramedullary nailing in open tibia fractures: a comparison of two techniques
Authors
Bruce H. Ziran
M. Darowish
B. A. Klatt
J. F. Agudelo
W. R. Smith
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2004
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0567-9

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