4/15/2023 0 Comments Grade fixation softwareThese fractures often have complicated categories due to complex traumatic mechanism, and management therefore is difficult and challenging. Keywords: open tibial fractures, unreamed, intramedullary nailing, external fixator, meta-analysis Background Multiple and combined injuries, which frequently occur with the presence of severe open fractures, have always been a troublesome concern for both emergency and traumatic physicians. No significant differences were revealed in deep infectionnonunion rate and time to union. The analysis showed a lower malunion rate using unreamed intramedullary nailing than external fixation. Observation items include malunion and deep infection rate, non-union and comparison of time to union. We retrieved original publications of comparative studies from medical literature databases and selected 9 of them for a meta-analysis. Summary Unreamed Intramedullary nailing and external fixation are 2 major treatments widely used in Gustilo grade III open tibial fractures, but the difference in effectiveness and complication remains controversial.
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