Outcomes of Patients With Large Versus Small Bone Defects in Open Tibia Fractures Treated With an Intramedullary Nail: A Descriptive Analysis of a Multicenter Retrospective Study

Objectives: To compare outcomes in patients with open tibia shaft fractures based on defect size. Design: Retrospective review. Setting: Eighteen trauma centers. Population: The study included 132 patients with diaphyseal tibia bone defects>1 cm and ≥50% cortical loss treated with intramedullary nail. Outcomes: The primary outcome was number of secondary surgeries to promote healing (bone graft, revision fixation, or bone transport). Additional outcomes included occurrence of secondary surgeries (bone graft, infection, amputation, and flap failure) and proportion healed at one year. Results are compared by “radiographic apparent bone gap” of
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research