A comparative study of clinical effects between one-stage and two-stage intramedullary interlocking nail fixation for treatment of Gustilo gradeⅡopen tibial fractures
XU Gengtian
GUO Yueyue
ZHUANG Huaiming
LIN Yongbin
LIN Jiayang
WANG Dechun
Abstract：Objective To compare clinical efficacy between one-stage and two-stage intramedullary interlocking nail fixation for treatment of Gustilo grade Ⅱ open tibial fractures. Methods Data of 54 patients of Gustilo grade Ⅱ open tibial fractures treated in Jieyang People's Hospital from June 2010 to June 2013, were analyzed retrospectively. They were divided into 2 groups, 32 patients in one-stage fixation group were treated by one-stage debridement and intramedullary interlocking nail fixation, 22 patients in two-stage fixation group were treated by the first-stage debridement and the second-stage intramedullary interlocking nail fixation. Excellent and good rate of Johner-Wruhs scoring, fracture healing time, hospitalization time, treatment costs and complications in two groups were observed. Results Differences of excellent and good rate of Johner-Wruhs scoring, fracture healing time and incidence of infection had no statistical differences between two groups (P >0.05); While wound healing rate at one-stage, hospitalization time and treatment costs in one-stage fixation group were better than those in two-stage fixation group, there were statistical differences between two groups (P <0.05). Conclusions Being safe and effective, one-stage or two-stage intramedullary interlocking nail fixation for Gustilo grade Ⅱ open tibial fractures could achieve similar efficacy, but compared with two-stage fixation, one-stage fixation could enhance wound healing better, shorten hospitalization time and decrease treatment costs.
Keywords：Tibial fracturesFracture fixationintramedullaryBone nailsFracture healingWound healingLength of stay
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 29-33 )