Single stage management of Gustilo type III A/B tibia fractures: Fixed with nail & covered with fasciocutaneous flap.

Autor:	Nambi GI; Plastic & Reconstructive Microvascular Services, Kovai Medical Center & Hospital, Coimbatore 641014, India., Salunke AA; Department of Orthopaedics, Pramukswami Medical College, Srikrishna Hospital, Karamsad 388325, Anand, Gujrat, India. Electronic address: drabhijeetsalunke@gmail.com., Thirumalaisamy SG; Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India., Babu VL; Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India., Baskaran K; Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India., Janarthanan T; Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India., Boopathi K; Department of Orthopaedics & Traumatology, Kovai Medical Center & Hospital, Coimbatore 641014, India., Chen YS; Department of Orthopedics, National University Hospital, Singapore.
Jazyk:	angličtina
Zdroj:	Chinese journal of traumatology = Zhonghua chuang shang za zhi [Chin J Traumatol] 2017 Apr; Vol. 20 (2), pp. 99-102. Date of Electronic Publication: 2017 Feb 22.
DOI:	10.1016/j.cjtee.2016.06.011
Abstrakt:	Purpose: To evaluate the role of immediate and definitive management of Gustilo type III A/B tibia fractures with intramedullary nailing and fasciocutaneous flap. Methods: From August 2010 to July 2012, 22 patients with Gustilo Grade III A/B tibia fractures were managed with a single stage treatment of ipsilateral fasciocutaneous flap & reamed intramedullary nailing and were included in the study. The severity of the injury was calculated with Ganga Hospital injury severity score. Results: The mean age of patients was 41 years and the follow-up time ranged from six months to one year. Among the 22 patients, 73% were type III B fractures with upper leg involved in 55% of them. The time interval from injury to completion of surgery was 8-14 h. The incidence of bone infection requiring secondary procedure was 9%; the major and minor soft tissue complication rate was 9% and 14% respectively. The limb salvage rate was 100%. Conclusion: Multidisciplinary management of severe lower limb trauma is important and provides good outcomes. Intramedullary nailing and immediate flap fixation can achieve early bone union and good soft tissue coverage, leading to good outcomes in patient with Grade III A & B tibia fractures. (Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
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