Open fractures are orthopedic emergencies that require immediate surgical intervention in order to provide fracture stabilization and to prevent development of osteitis. We present the case of a 33-years-old patient presented in our clinic for a type IIIB neglected open fracture of the distal tibia. We used external fixation for fracture stabilization and a distal based fasciocutaneous sural flap for covering the wound. The purpose was to obtain union of the tibia and reducing the risk of infection. The results at 6 months are good, but the patient needs to be closely followed in time.
Keywords: open tibial fracture, soft tissue defect, external fixation, sural flap.
University of Medicine and Pharmacy Carol Davila, Department of Orthopedics, Clinical Emergency Hospital St. Pantelimon, Bucharest, Romania
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