title: [Use of centromedullar nailing as treatment in open tibial fractures stage IIIb in the tropics].
abstract: The authors report a retrospective study of 7 cases over a three-years-period. This study concerns patients treated in a tropical area in which the cutaneous tolerance of an external fixator is bad.Debridement was performed as an emergency without consideration of possible closure of the wounds. The bone was always covered at the end of the operation by a muscular pedicled flap.The fixation was performed by a reamed nail in 5 of the 7 cases.A primary consolidation was achieved in 58% of the cases.The mean time to consolidation was 7 months.
authors.affiliation: C.H.T. Papeete, BP 1640, Tahiti, Polynésie Française.
authors.forename: C
authors.initials: C
authors.lastname: Belli
authors.forename: P
authors.initials: P
authors.lastname: Simon
authors.forename: H
authors.initials: H
authors.lastname: Géraud
authors.forename: J F
authors.initials: JF
authors.lastname: Kempf
authors.forename: S R
authors.initials: SR
authors.lastname: Babin