Treatment of open fractures of the tibial shaft: Ender nailing versus external fixation. A randomized, prospective comparison

J. L. Holbrook, M. F. Swiontkowski, R. Sanders

Research output: Contribution to journalArticle

96 Scopus citations

Abstract

A randomized, prospective study comparing Ender nailing with external fixation for open fractures of sixty-three tibiae (sixty patients) was undertaken. Ender nailing proved to be at least as effective as external fixation with respect to seven parameters: time to union, tibial alignment, total number of operations, ranges of motion of the knee and ankle, pain, presence of infection, and complications. Ender nailing is a safe alternative to external fixation for grade-I and grade-II open fractures. It should not be used for comminuted fractures, which might shorten about the nails.

Original languageEnglish (US)
Pages (from-to)1231-1238
Number of pages8
JournalJournal of Bone and Joint Surgery - Series A
Volume71
Issue number8
DOIs
StatePublished - Jan 1 1989

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