The relationship between the presence of complete circumferential periosteal stripping of a long bone and subsequent complicated outcome was determined using Fisher's exact test (Analyze-it for Microsoft Excel).
However, 24% of the long-bone osteomyelitis cases were very advanced, with circumferential periosteal stripping.
The destruction of endosteal blood vessels along with already compromised vascular supply due to periosteal stripping and soft tissue damage causes considerable bone necrosis, which accounted for higher rates of infection and non-union in open tibial fractures.
This is especially valuable in the treatment of open fractures, in which the outer cortical blood supply is already damaged by periosteal stripping.
The advantages of using an intramedullary device is that periosteal stripping is unnecessary, the skin incisions are smaller, and there is less soft tissue dissection, resulting in preservation of osseous blood supply, which aids in fracture union.
In addition, it requires no periosteal stripping and the incisions are smaller than those required for plate fixation.
This type also includes open fractures caused by farm injuries, fractures requiring vascular repair, or fractures that have been open for 8 hr prior to treatment IIIA Type III fracture with adequate periosteal coverage of the fracture bone despite the extensive soft-tissue laceration or damage IIIB Type III fracture with extensive soft-tissue loss and periosteal stripping
and bone damage.
8,9) Furthermore, open reduction and periosteal stripping
for placement of the implant may interfere with the healing process, resulting in high rate of non-union and infection.
It leads to rapid bone healing and non-interference to fracture hematoma and minimal periosteal stripping
4) Closed interlocking nailing involves minimal surgical intervention, biological fixation, no periosteal stripping
with rotational and torsional stability, anatomical reduction, early mobilization, preservation of hematoma.