title: [What does the new solid unreamed tibia nail (UTN) contribute in open fractures?].
abstract: In the field of trauma surgery open fractures of the lower leg remain an injury with a high complication rate. Bone and soft tissues must be treated carefully to avoid further damage, so that uncomplicated healing results. In the past, treatment of open fractures of the lower leg was done primarily by external fixation. Medullary nailing with reaming of the medullary canal has been widely used for shaft fractures without soft tissue damage, but when used in open fractures, the infection rate remained high. Intramedullary nailing without reaming required the development of new implants (i.e. the solid unreamed tibia nail (UTN) by AO). These new implants allow us to perform the nailing technique in open fractures of the lower leg with a low complication rate. This can be done primarily or secondarily after initial treatment with external fixation. Even patients with lower-leg open fractures may benefit from the advantages of early mobilization and partial weight-bearing after osteosynthesis with intramedullary nailing.
authors.affiliation: BG Unfallklinik Tübingen.
authors.forename: D
authors.initials: D
authors.lastname: Höntzsch
authors.forename: S
authors.initials: S
authors.lastname: Weller
authors.forename: T
authors.initials: T
authors.lastname: Rüedi
mesh_terms: D001858:Bone Nails; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Was bringt der neue solide Tibiamarknagel (UTN) ohne Aufbohren beim offenen Bruch?