Tibial open fracture Injury, Occupational Diseases, Poisoning Fracture of tibia
Conditions
Interventions
Patients will be randomized to:
1. The intramedullary nail group:
Prophylactic antibiotics will be used at the emergency room, and the participants will be undergo the operation within eight hours af
Sponsors
Federal University of Sao Paulo (Brazil)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients of both sexes 2. Adults who have growth plate closed to radiographic examination 3. Open fractures of the tibial shaft with less than 8 hours of occurrence The classification used in this study for the degree of exposure of the fracture is described by Gustilo and Anderson in 1976 and modified by Gustilo, Mendoza and Williams in 1984, and will be included fractures of type I, II and IIIA.
Exclusion criteria
Exclusion criteria: 1. Presence of previous traumatic or infectious lesion in the fractured tibia 2. Associated lesions which makes impossible the execution of a method or evaluation and postoperative rehabilitation 3. Chronic disease or other physical or mental conditions that preclude monitoring 4. Refusal to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need of reoperation on months 3, 6, 9, or 12. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Non-union rate on months 6, 9 or 12 2. Infection rate 3. Mal-alignment rate on months 3, 6, 9 or 12 4. Functional score (Johner and Whrus) and life quality score (SF-36) on months 6 and 12 | — |
Countries
Brazil
Outcome results
None listed