Abstract

GOROSITO CINALLI, Emmanuel I. et al. Evaluación de la estabilización de fracturas expuestas de pierna grados I y II de Gustilo en la etapa aguda. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.2, pp.159-166. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.2.1061.

Introduction: The internal fixation of open leg fractures in the acute stage, that is, within 24 hours of trauma, is quite controversial. The objective of this article is to assess infections associated with acute intramedullary nailing fixation —versus deferred fixation— of Gustilo type I and II open fractures. Patients and Methods: A retrospective cohort study was conducted on the acute treatment of patients with open leg fractures admitted to the hospital between 2015 and 2018. The infection rate was analyzed during the first 6 postoperative months after intramedullary nailing, and acute fixation patients were compared against deferred fixation patients. Results: Acute internal fixation with intramedullary nail in patients with open leg fractures does not increase, but rather decreases, the infection rate in the postoperative control. Conclusion: The study supports acute intramedullary nailing in patients with open tibial fractures.

Keywords : Acute internal fixation; open fractures; infections; damage control.

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