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The Journal of Bone and Joint Surgery, Vol 65, Issue 7 879-885, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Open fractures of the tibia treated with the Lottes nail

A Velazco, TE Whitesides and LL Fleming

Of fifty consecutive open fractures of the mid-part of the shaft of the tibia that were treated from 1975 to 1980 with immediate intramedullary Lottes-nail fixation and with debridement and irrigation, with minimum periosteal disruption, all but one healed. The rate of infection was 6 per cent; of delayed union, 16 per cent; and of malunion, 4 per cent. One fracture, with arterial injury, resulted in amputation. The wounds were classified as Gustilo and Anderson Type I (24 per cent), II (12 per cent), or III (64 per cent). Seventy-six per cent of the patients had other fractures, and 38 per cent had a fracture of the ipsilateral femur. Sixty-four per cent of the fractures were segmental and 36 per cent were transverse with comminution.
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