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October 1, 2025Journal of Experimental OrthopaedicsOpen Access

Intramedullary nail prior to flap coverage may not increase complications in Gustilo–Anderson Grade IIIB and IIIC open tibial fractures: A retrospective study

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Authors

EMEmily MorrisJYJarrod YoungerGriffith UniversityMHMatthew Hope

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Implication

Retrospective analysis shows no difference in complications for immediate intramedullary nailing in open tibial fractures, indicating a potential for improved care coordination.

Key Points

  • The study aimed to evaluate if immediate intramedullary nailing and delayed flap coverage increases complications in severe open tibial fractures.
  • Retrospective analysis of patients from a trauma database between 2015 and 2024
  • Included patients over 18 years old with Gustilo–Anderson IIIB or IIIC fractures and 6 months follow-up
  • Complications assessed included deep infection, aseptic nonunion, flap failure, and revision surgery
  • No significant differences in complications were found between the two groups
  • Deep infection rate p = 0.78, nonunion p = 0.51, flap failure p = 0.56, revision surgery p = 0.19
  • Binary logistic regression showed no difference in infection rates (OR = 1.14, CI: 0.46–2.85, p = 0.780)

Cite This Study

Morris et al. (2025) studied this question.

synapsesocial.com/papers/69254f97c0ce034ddc359ec4https://doi.org/10.1002/jeo2.70522
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study2024 · 2 citations
  2. 2Outcomes following surgical fixation of Gustilo-Anderson IIIb open tibial fractures2024 · 5 citations
  3. 3Infection Rate by Gustilo–Anderson Classification in Open Tibial Shaft Fractures Treated With an Intramedullary Nail—A Meta-Analysis2026
  4. 4Soft tissue coverage before 12 days prevents fracture-related infection in IIIB open tibial fractures in young and healthy patients2025 · 4 citations
  5. 5Functional Outcome of Solid Interlocking Nail in Open Tibial Fracture at a Tertiary Care Center: A Descriptive Cross-sectional Study2024 · 1 citations