Comparative Study of Intramedullary Flexible Nailing and External Fixator Result in the Management of Fractures Tibial Shaft. (Gustilo type II, type IIIA, and type IIIB).

Introduction: Open tibial fractures, usually caused by high-energy trauma, are among the most common long-bone fractures. Clinically, the treatment of open tibial fractures remains a major therapeutic problem for surgeons because of the poor soft-tissue coverage and blood supply in the tibia, with resultant difficulties arising from infection and poor bone healing. In this study, we will assess the results of intramedullary flexible nailing and external fixators in the management of fractures shaft tibia (G.