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To assess the clinical outcome of unreamed. intramedullary interlocking nailing in open fractures. of tibia, and to evaluate the incidence of complications. in these open fractures as a result of the unreamed. intramedullary nailing. Methods. Between June 1999 and May 2000, a total of.
It is a somewhat occult open fracture due to the fact that the growth plate of the distal phalanx is remarkably close to the nail plate. When a subungual hematoma occurs in conjunction with a growth plate fracture, this does in fact represent an open fracture. Growth plate (physeal) fractures.ecause it occurs in adolescents with relatively mature growth plates, there is minimal potential for deformity due to growth plate injury. Treatment of displaced SH III and SH IV fractures of the distal tibia requires open reduction.