title: [Importance of bone grafting in open tibial fractures (Gustilo III)].
abstract: The authors report a retrospective study of 6 cases treated over the period 1988-1993.The closure of the wound was achieved by means of 3 free flaps (2 provided bone and skin in a single flap and the third was a latissimus dorsi muscle flap) and 3 pedicular flaps.The fixation of the fracture was performed by an external fixator in all cases. In one third of the cases a secondary nailing was performed to obtain consolidation. A bone graft was needed in 2/3 of the cases (2 bone free flaps, 1 bone allograft, 1 cancellous autograft).
authors.affiliation: Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Rochelle, F-17019, La Rochelle Cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Delplace
authors.forename: R
authors.initials: R
authors.lastname: Beya
authors.forename: T
authors.initials: T
authors.lastname: Germonville
authors.forename: B
authors.initials: B
authors.lastname: Vasse
authors.forename: D
authors.initials: D
authors.lastname: Rivet
authors.forename: P
authors.initials: P
authors.lastname: Lecèstre