[Therapeutic strategies of grade-III open fractures of tibia and fibula].
OBJECTIVE
To explore early treatment and technique of grade-III open fracture of tibia and fibula and to summarize the experience of the treatment with external fixation.


METHODS
The retrospective analysis were carried out in 168 cases of grade-III open tibial and fibular fractures. One hundred and twenty cases were treated with external fixation,and others were treated with intramedullary nail or amputated. Among 120 patients treated with external fixation in early stage, 86 were male and 34 were female. The age ranged from 18 to 67 years with an average of 36.8 years.


RESULTS
One hundred and eleven patients achieved the excellent or good results, some of them underwent later repair of soft tissues. One case was nonunion because of infection and malreduction, and amputation in later stage in 8 cases.


CONCLUSIONS
Treatment with external fixation in early stage is an ideal method for grade-III open fractures of tibia and fibula. Good reduction integrated with simple internal and external fixation is favorable for the repair of soft tissue and union of fracture.
Xiao
Bai-ping
BP
Department of Orthopaedics,the Sixth Hospital of Ningbo, Ningbo 315040, Zhejiang, China. xbp0412@126.com
Li
Ming
M
Mao
Wei-min
WM
Xu
Rong-ming
RM
Zhou
Long
L
Zhang
Jing-wei
JW
D000293:Adolescent; D000328:Adult; D000368:Aged; D016267:External Fixators; D005260:Female; D005360:Fibula / Q000293:injuries*; D005592:Fracture Fixation / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000601:surgery*