Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type III B open tibial fractures: A report of four successful cases [Injury 2006;37:289–94

Abstract

I read with interest the article in the March 2006 issue titled ‘Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type III B open tibial fractures: A report of four successful cases’ by Ueno et al. 3 Ueno M. Yokoyama K. Nakamura K. Uchino M. Suzuki T. Itoman M. Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type III B open tibial fractures: a report of four successful cases. Injury. 2006; 37: 289-294 Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar The report of the four successful cases is very encouraging. In my anecdotal experience of operating in a major trauma centre in northern India where we were performing unreamed tibial nailings in open grade III B fractures primarily and after initial external fixator applications, we found the results were encouraging. I fully agree with the authors that clinical trails of more such cases, prospective trials or multi centre studies are needed to ascertain the effectiveness of this regimen. Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type IIIB open tibial fractures: A report of four successful casesInjuryVol. 37Issue 3PreviewThe conversion method from external fixation (EF) to intramedullary nailing (IMN) for open tibia fractures, especially to Gustilo type IIIB open tibia fractures, have potentially high risk of infections. We document a report of a more progressive approach in four consecutive cases of type IIIB open tibial fractures successfully managed with early unreamed IMN without a safety interval and simultaneous flap coverage following EF. The mean patients age at the time of injury was 43.8 years (range 23–64 years), and three patients were male. Full-Text PDF Early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type IIIB open tibial fractures: A report of four successful casesInjuryVol. 38Issue 2PreviewThank you for your interest and comments on our paper entitled “early unreamed intramedullary nailing without a safety interval and simultaneous flap coverage following external fixation in type IIIB open tibial fractures: a report of four successful cases” (Injury 37: 2006, 289–294). Full-Text PDF