scholarly journals Transverse debridement and acute shortening followed by distraction histogenesis in the treatment of open tibial fractures with bone and soft tissue loss

2018 ◽  
Vol 13 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Saif Salih ◽  
Edward Mills ◽  
Jonathan McGregor-Riley ◽  
Mick Dennison ◽  
Simon Royston
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Tissue Loss ◽  
Open Tibial Fractures ◽  
Soft Tissue Loss ◽  
Acute Shortening ◽  
Distraction Histogenesis

The Management of Open Tibial Fractures with Associated Soft-Tissue Loss

1981 ◽  
Vol 68 (1) ◽  
pp. 80-82 ◽  
Author(s):  
H. Steve Byrd ◽  
George Cierny ◽  
John B. Tebbetts
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Tissue Loss ◽  
Open Tibial Fractures ◽  
Soft Tissue Loss

scholarly journals Flaps in the management of open tibial fractures

2019 ◽  
Vol 5 (3) ◽  
pp. 504
Author(s):  
T. Karikalan
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Tibial Fractures ◽  
Tissue Loss ◽  
Wound Debridement ◽  
Open Tibial Fractures ◽  
Type Iii ◽  
Soft Tissue Loss ◽  
Flap Cover

<p class="abstract"><strong>Background:</strong> The prognosis in open fractures is primarily determined by the amount of soft tissue loss and the level of contamination. Severe open tibial fractures usually require combined orthoplastic approach in the management. Our aim is to study the effectiveness of soft tissue flaps in the management of type III B open tibial fractures.</p><p class="abstract"><strong>Methods:</strong> The study material consists of 20 cases of grade III B open tibial fractures admitted in our institution. Under anaesthesia, wound debridement was done and fracture stabilised with external fixator or IM nail depending upon the wound status. Patient underwent flap cover once the wound was fit. Periodic follow up was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Nonunion occurred in one patient (5%). Chronic osteomyelitis developed in two patients (10%). Deep infection occurred in three cases (15%). There was no secondary amputation in our series. The average union time of fracture was 30.1 weeks. Lower third fractures and those patients with extensive soft tissue injury, delayed flap cover and flap failure had longer union time.</p><p class="abstract"><strong>Conclusions:</strong> Fasciocutaneous flap has definitive role in the management of type III B open tibial fractures with soft tissue loss.</p><p class="abstract"> </p>

scholarly journals External Pin Fixation with Early Flap Coverage for Open Tibial Fractures with Soft Tissue Loss

1970 ◽  
Vol 11 (1) ◽  
pp. 28-32
Author(s):  
Md Shamsuzzaman ◽  
Md Anowarul Islam ◽  
Shah Mohammad Amanullah
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Tissue Loss ◽  
Open Tibial Fractures ◽  
Type Iii ◽  
Pin Fixation ◽  
Injury Treatment ◽  
Radical Debridement ◽  
Soft Tissue Loss ◽  
Flap Cover

Meaningful data on the management of open tibial fractures cannot be obtained unless one categorizes the injury according to fracture type, degree of soft tissue loss and the velocity of the injury. Treatment by converting the type III injury to a type II injury with well vascularized soft tissue is presented. Eighteen patient with 20 type III and type III(a) wounds were treated in a prospective fashion employing a combined orthopedic and plastic surgical scheme based on the tenets of early radical debridement, a "second look" operation, muscle or fasciocataneus flap cover within the first 3 weeks for injury. All fractures united in a mean time of 6.0 months. The mean hospitalization was 6.2 weeks. There have been chronic infection, osteomyelitis nonunion, shortening or tissue breakdown. Keyword: Open tibial fractures, external pin fixation DOI:10.3329/jom.v11i1.4265 J Medicine 2010: 11: 28-32

Acute Shortening: Modular Treatment Modality for Severe Combined Bone and Soft Tissue Loss of the Extremities

2004 ◽  
Vol 57 (3) ◽  
pp. 603-608 ◽  
Author(s):  
Alexander Lerner ◽  
Lucian Fodor ◽  
Michael Soudry ◽  
Isaac J. Peled ◽  
Dori Herer ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Treatment Modality ◽  
Tissue Loss ◽  
Modular Treatment ◽  
Soft Tissue Loss ◽  
Acute Shortening

Flexible Intramedullary Nailing in High-Energy Tibial Fractures With Extensive Soft-Tissue Loss

2020 ◽  
Vol 10 (2) ◽  
pp. e0030-e0030
Author(s):  
Jung-Mo Hwang ◽  
Chan Kang ◽  
Deuk-Soo Hwang ◽  
Gi-Soo Lee ◽  
Jeong-Kil Lee ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Intramedullary Nailing ◽  
High Energy ◽  
Tibial Fractures ◽  
Tissue Loss ◽  
Flexible Intramedullary Nailing ◽  
Soft Tissue Loss
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