SUPERIOR RESULTS OF TIBIAL RODDING VERSUS EXTERNAL FIXATION IN GRADE 3B FRACTURES

From 1987 to 1993, 41 Grade 3B open tibial shaft fractures were treate d with the unreamed tibial nail or an external fixator, The method of treatment was left to the choice of the operating surgeon, Three below knee amputations were performed; three patients died; and three were lost to followup, Thirty-two patients were observed until union or for at least 1 year, There were no significant statistical differences be tween the two groups with respect to fracture type, fracture location, age, gender, or accompanying injuries, The unreamed tibial nail group showed significantly better results regarding time to full weightbear ing, number of reoperations, isolated bone grafting, walking range, an d average Karlstrom and Olerud score, Time to bony union, infection, a nd nonunion were not significantly different between the groups.