A Systematic Review / Meta-Analysis in Management of infected long bone fractures of lower limb after intramedullary nailing in adults

Abstract

Our study reviewed management of different stages of infection of long-bones after intramedullary nail fixation, it’s so important to classify the stage upon time and localization of presented infection. Most of stage 1 infection heal by simple methods, stage 2 is the commonest among the three stages may present with simple symptoms but we shouldn’t under estimate, it could lead to serious complications up to amputation. Many successful strategies (nail exchange, cemented coated nail, debridement and anti-biotic administration) used in management of stage 2 patients Despite law number of patients presented with stage 3 infection, the remarkable sign of this stage is the presence of bone defect this make the nearly golden method for this stage is external fixator which allow to care with large defects without disturbing limb fixation.