Affiliation:
1. Specialist Orthopedic Surgeon
2. Specialist Orthopedic Surgeon.
Abstract
Methodology Eighteen patients who sustained severe open leg fractures (Gustilo’s III) were treated, average age of
25years.
Aims of study:The project is to evaluate: the benet of early over late soft tissue reconstruction in severe open leg fractures (Gustilo type III)
regarding the ap and bone healing.
All patients were treated by meticulous wound excision with stabilization of fracture and then wound cover, which is done early in 6 patients
(before 7 days) and late in 12 patients (after 7 days). local muscle ap was done in 9 patients (50%), local fasciocutanous ap in 6 patients (33/3%)
and free ap in 3 (16.7%).
CONCLUSION: primary reconstruction of Gustilo type III open tibial fractures had advantages compared with secondary reconstruction.
Smoking plays an important role in increasing complication.
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