title: Invited commentary.
authors.affiliation: Orthopaedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, New York, NY.
authors.forename: David L
authors.initials: DL
authors.lastname: Helfet
authors.forename: David C
authors.initials: DC
authors.lastname: Dewar
mesh_terms: D005597:Fractures, Open / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D013978:Tibial Fractures / Q000175:diagnosis* / Q000601:surgery*