Antibiotic Eluting Tibial Nailing System are Effective in Improving fracture union rates and Reducing Infection in Open Gade II & IIIa Injuries.

Abstract

Background: A one-step therapy option for problematic infections is antibiotic-impregnated nailing, which provides stability. Unlike cement beads, it offers stability across the fracture site.The present study aimed to study compound fractures of the shaft of the tibia managed with an antibiotic-eluting tibial nailing system. Material and Methods:The current investigation was single-center, prospective, observational research, performed in patients over 18 years of either sex, who had open (complex Grade II, Grade IIIA) shaft of tibia fracture. Commercially available cytocompatible Gentamicin eluting tibial nail was employed. Results: In the present study, 50 cases were studied. Mostofthesurgeriesare donelessthan6hoursfromthetimeofinjury.The averagetimeisabout8.05hours +/- 3.45 hours. 48patientsachievedunion (96 %).In the current study, a 96% union rate was attained, with 96% achieving excellent to good scores on the Lysholm scale, 4% achieving a fair result at the 6-month follow-up, and 100% achieving an excellent score at the 1-year follow-up. Conclusion:Antibiotic eluting nailing is a very successful one-stage treatment that reduces problems and achieves early bone union with less morbidity.