A prospective randomized control trial between immediate undreamed nailing versus delayed nailing in compound tibial shaft fracture

Objective: To assess the outcome of results in compound tibial fractures in terms of immediate and delayed nailing.

Methods: A prospective randomized, double blind, control trial regarding immediate nailing in 30 patients and delayed nailing in another 30 patients and the outcome is measured in GA Type II, IIIA and IIIB fractures, with 10 patients in each Sub-Group.

Results: In Open Type II fractures in immediate and delayed nailing Groups union occurred after 18.09 and 26.5 weeks respectively. We obtained excellent results in 73.07% patients after immediate nailing and 53.84% after delayed nailing in Group II, p Value 0.001.

Conclusion: The immediate nailing in GA Type II gives better result but equivalent results with GA Type IIIA and IIIB.