title: Infection after reamed intramedullary nailing of lower limb fractures. A review of 1,464 cases over 15 years.
abstract: We studied 1,464 consecutive immediately-reamed intramedullary locked nailings of tibial or femoral fractures. There was an increase in postoperative infection if the tibial fracture was open; the relative risk increased with the severity of the soft tissue lesion. There was a marginal increase in the postoperative infection rate for open femoral fractures. A comparison of these figures with those in other methods of treatment and the mechanical and clinical advantages of nailing leads us to propose this method of treatment for Grades I and II open fractures of the femur or tibia.
authors.affiliation: Centre de Traumatologie et d'Orthopédie de Strasbourg, Illkirch, France.
authors.forename: J Y
authors.initials: JY
authors.lastname: Jenny
authors.forename: G
authors.initials: G
authors.lastname: Jenny
authors.forename: I
authors.initials: I
authors.lastname: Kempf
mesh_terms: D001858:Bone Nails / Q000009:adverse effects*; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D005596:Fractures, Closed / Q000601:surgery*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D015994:Incidence; D016459:Prosthesis-Related Infections / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D012720:Severity of Illness Index; D013978:Tibial Fractures / Q000601:surgery*