alexa
Reach Us +44-1477412632
Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup Analysis of Randomized Trials | Abstract
ISSN: 2165-7025

Journal of Novel Physiotherapies
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup Analysis of Randomized Trials

Zhuang Cui, Bin Yu*, Changpeng Xu, Xue Li, Jinqi Song, Hanbin Ouyang and Liguang Chen
Department of Orthopedics and trauma, Nan Fang hospital, Southern Medical University, Guangzhou, Guangdong province, PR China, 510515
Corresponding Author : Bin Yu
NO,1838 Guangzhou Da Dao Bei
Orthopedics and trauma, NanFang hospital
Southern Medical University, Guangzhou
Guangdong province, PR China, 510515
Tel: 18620087757
Fax: 020-61641888
E-mail: [email protected]
Received April 20, 2013; Accepted April 30, 2013; Published May 02, 2013
Citation: Cui Z, Yu B, Xu C, Li X, Song J, et al. (2013) Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup Analysis of Randomized Trials. J Nov Physiother 3:144. doi:10.4172/2165-7025.1000144
Copyright: © 2013 Cui Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objects: The aim of this article is to provide a comprehensive and concise review of the literature and subsequent meta-analysis of data regarding the effect of unreamed intramedullary nailing versus external fixation for type IIIA and IIIB open tibial fractures.

Methods: We selected PubMed; Cochrane Library; EMBASE; BIOSIS; Ovid and the relevant English orthopedic journals and pooled data from eligible trials including six eligible prospective randomized trials comparing unreamed intramedullary nailing and external fixation for type IIIA or IIIB open tibial fractures to conduct a subgroup analysis, aiming to summarize the best available evidence.

Results: The results showed compared with external fixation, unreamed intramedullary nailing led to fewer superficial infection rate in patients with type IIIA (95% confidence interval (CI) 0.04–0.39, P=0.0003) and type IIIB open tibial fractures (95% CI 0.22–0.86, P=0.02). And there was the trend of obtaining better clinical effect towards less deep infection rate in unreamed intramedullary nailing group for patients with type IIIA and IIIB open tibial fractures, respectively (95% CI 0.29–1.77, P=0.47) and (95% CI 0.12–1.17, P=0.09), although no significant differences were viewed. Meanwhile, unreamed intramedullary nailing reduced the incidence of reoperation (95% CI 0.25–0.85, P=0.01) and malunion (95% CI 0.14–0.50, P<0.0001) and shortened the radiographic time to union (95% CI (-5.54, -1.86), P<0.0001) while no significant difference was viewed towards nonunion rate (95% CI 0.50–2.77, P=0.71) in patients with type III open tibial fractures.

Conclusions: We suggest that the final results are significant and there are some evidences supporting the use of unreamed intramedullary nailing for type IIIA and IIIB open tibial shaft fractures. Limitations remain, operative duration, blood loss and some functional evaluation indicators such as range of motion in ankle and knee should be more carefully considered and reported in a reliable, consistent and standardized manner.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri and Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version