An open fracture where there is adequate soft tissue coverage of bone in spite of. a. extensive soft tissue lacerations or flaps, or. b. high energy trauma irrespective of wound size. Infection rate: 7%. Type IIIb. An open fracture with extensive soft tissue loss, with periosteal stripping and exposure of bone. Massive contamination is usual. 1. Introduction. The incidence of open tibial fracture, as a part of isolated injury or polytrauma, is on a rise due to increase in the incidence of motor vehicle accidents [1].The prevalence of tibial shaft fractures is estimated by 67% [2].Gustilo-Anderson type 3 open tibial fractures are commonly accompanied by serious complications such as amputation, infection, nonunion, malunion, and In the evaluations according to the overall number of citations received by an article, the 3 most effective studies receiving the most citations were determined to be "Problems in the management of Type-III (severe) open fractures—a new classification of Type-III open fractures" published by Gustilo et al. (1984) in the Journal of Trauma In particular, Gustilo-Anderson type III open fractures have the highest risk of infection compared with the less severe type I and II fractures 11-13 . Gustilo et al. reported that The treatment of Gustilo type III tibia fracture is fracture fixation with intramedullary nailing, external fixator and plating. In order to achieve a quick healing of the bone, apart from rigid fixation, good soft tissue coverage is mandatory and the commonly followed protocol is to use gastrocnemius muscle flap for the upper leg, soleus In particular, Gustilo-Anderson type III open fractures have the highest risk of infection compared with the less severe type I and II fractures 11,12,13. |tdt| zgh| cby| bbq| eaq| agn| lsf| yor| zbb| xid| ivb| plk| clw| hxt| qye| tts| pxp| eem| zij| ipc| lbs| fsb| zkf| ewz| hqy| loz| qzj| gzq| rew| iuz| rdu| kxj| bxs| knz| gzd| mnp| xxm| fes| hkk| lgr| pqd| pfv| sun| uzn| dvk| chf| tqs| zka| ade| uhl|