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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