[Importance of bone grafting in open tibial fractures (Gustilo III)]
J Delplace1, R Beya, T Germonville
1Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Rochelle, F-17019, La Rochelle Cedex, France.
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).
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