Outcome of tibial shaft XXXX with @entity3145 treated by unreamed nailing versus external fixation.

@entity5806 @entity174 @entity3145
MATERIALS: Between 1987 and 1991, 114 fresh tibial shaft @entity174 with @entity3145 , which met the inclusion criteria, were treated and retrospectively reviewed. There were 48 cases in the unreamed nail ( @entity5806 ( @entity5806 )) group and 66 cases in the external fixation (EF) group. METHODS: Soft tissue injury was classified by the Gustilo and Tscherne methods. There were 18 AO type A, 56 type B, and 40 type C @entity174 . There were no significant difference in fracture type, soft tissue injury, age, and additional injury between the groups. Outcome was assessed using the Karlstr  m score after 28 months. RESULTS: There were a significantly higher number of reoperations in the EF group. Mean time to bony healing was 25.8 weeks. In the EF group, there was a 26% rate of pin tract infection, whereas 19% of cases had bolt breakages in the @entity5806 group. In the @entity5806 group, 40% had good results, compared with 27% in the EF group. In the @entity5806 group, there were significantly fewer ante- and recurvatum deformities of more than five degrees. CONCLUSIONS: Treatment of @entity174 by @entity5806 , compared with EF, gave a lower reoperation rate and better functional outcome.
