title: Open tibial fractures: current orthopaedic management.
abstract: Treating the spectrum of bone and soft-tissue injuries that can accompany open fractures of the tibia requires experience and judgment. It appears that the non-reamed interlocking nail can safely and reproducibly stabilize most low-energy and selected high-energy open fractures of the leg. Severe open tibial fractures require a staged reconstructive protocol using external fixation as the method of bony stabilization. Differentiation between the requirements of individual injuries remains the key to successful treatment.
authors.forename: R J
authors.initials: RJ
authors.lastname: Brumback
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001158:Arteries / Q000293:injuries; D003131:Combined Modality Therapy; D003646:Debridement; D005592:Fracture Fixation / Q000379:methods; D005597:Fractures, Open / Q000145:classification / Q000628:therapy*; D006801:Humans; D011859:Radiography; D007507:Therapeutic Irrigation; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents