Wound complications, infections and nonunions do not increase with open reduction of tibia shaft fractures treated with intramedullary devices

Abstract

Introduction: Tibia shaft fractures on common injuries and commonly treated with intramedullary implants. The effect of open reduction on fracture healing and wound healing is not well described. Methods: A retrospective chart review of 32 cases of open or closed tibia shaft fractures treated by a single surgeon at a Level 3 trauma center with open reduction and use of an intramedullary implant. Re-operation rates for any reason, deep and superficial infection rate and fracture healing were recorded. Results: All 32 patients healed their fractures and 4 patients require removal of painful hardware. Two cases superficial infection occurred, and no cases of deep infection occurred. Conclusion: Open reduction of tibia shaft fractures can be done safely and effectively using appropriate technique in a diverse set of patients that present in a community type setting.