Which surgical treatment (plate, nail or external fixator) for open tibial shaft fractures results in lower rate of infection?

Which surgical treatment (plate, nail or external fixator) for open tibial shaft fractures results in lower rate of infection?

Authors: Nando Ferreira, Arvind Nana, Michael T. Archdeacon

RECOMMENDATION: There is little to no difference in terms of infection rates for Gustilo-Anderson types I–II treated by either circular external fixator, unreamed intramedullary nail or reamed intramedullary nail. For Gustilo-Anderson IIIA-B fractures, circular external fixation appears to provide the lowest infection rates when compared to all other fixation methods.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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