[Internal fixation in the treatment of Gustilo IIIb open fractures of the leg].
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 1996;
6:9-10. [PMID:
24193551 DOI:
10.1007/bf02718683]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/1995] [Accepted: 12/01/1995] [Indexed: 10/22/2022]
Abstract
Gustilo type IIIb open fractures are most often associated with high energy trauma and cannot be closed by simple suture because of the high risk of infection and non-union. As an alternative to the external fixator, fixation by reamed locked intermedullary nailing was done according to the standard technique. The fixation allowed immediate partial or complete weightbearing and mobilisation of the neighbouring joints. In addition, it allows simple and rapid skin cover by flaps. This immediate skin cover allows one to diminish the risk of infection.
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