Unreamed Intramedullary Nailing is a better alternative than External Fixator for Gustilo grade IIIB Tibial Fractures based on a meta-analysis

6 studies which compared the use of intramedullary nail fixation and external fixation in the treatment of Gustilo grade IIIB open tibial fractures were included in this meta-analysis. Pooled outcomes included time to union, delayed union rate, malunion rate, nonunion rate, infection rate and fixation failure rate. Analyses of time to union, the incidence of malunion, and incidence of superficial infection demonstrated significant differences between the two treatment options in favour of intramedullary nail fixation.