Important key factors for preventing deep infection in cases converted from external fixation to intramedullary nailing
| Deep infection (patient no.) | Gustilo-Anderson grade | Important key factors for preventing deep infection | |||||
|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | ||
| 1 | IIIA | Yes | 10 days | Reamed nail | No | No | Yes |
| 2 | IIIA | Yes | 21 days | Reamed nail | No | No | No |
| 3 | IIIA | Yes | 18 days | Unreamed nail | No | No | Yes |
1: early flap coverage by well-vascularized tissue within 1 week after trauma, 2: short duration of external fixation, 3: early unreamed intramedullary nailing, 4: debridement of the screw hole at the pin site, 5: slightly prolonged interval between removal of the external fixator and intramedullary nailing until complete healing of the pin site, 6: complete healing of the pin site, bold font: did not meet the criteria.
no., number.