Background: We compared the clinical efficacy of mini-open reduction and autologous bone grafting (G) and closed reduction (G) using intramedullary nailing for the treatment of tibial shaft fractures.
Methods: This retrospective study included 70 tibial shaft fractures treated with G or G between January 2018 and December 2021. The demographic characteristics and clinical outcomes were compared between the two treatment methods.
Results: This study included 70 patients who were followed-up for 12.4 months. In total, 31 and 39 patients were treated with G and G, respectively. The operative duration was significantly shorter for G (95.2 ± 19.3 min) than for G (105.5 ± 22.2 min, p = 0.0454). The number of radiation times was significantly lower for G (14.7 ± 6.3) than for G (22.2 ± 9.2, p < 0.005). There were no statistically significant differences between the groups in terms of the wound complication or infection rates. The malunion and nonunion rates were high after G than after G, but there are no significant differences between the groups.
Conclusions: Closed reduction and intramedullary nailing remains the first choice for tibial shaft fractures. G is a safe and effective treatment worth considering. Future prospective randomized controlled trials are warranted.
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| http://dx.doi.org/10.1186/s13018-023-04024-9 | DOI Listing |
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