As a result of our clinical observation, patients were divided into two main groups in order to investigate the comparative properties of the wound healing process of the heavier open fractures during polytraumatics: the control group included 118 patients and 36 patients. The control group patients were traditionally treated, and the major group patients were treated with the newest optimal procedure. The proposed optimal surgical tactic consists of several complementary tricks.
Court-Brown CM, Bugler KE, Clement ND, Duckworth AD, McQueen MM. The epidemiology of open fractures in adults. A 15-year review. Injury 2012;43:891-7.
Larsen P, Elsoe R, Hansen SH, et al. Incidence and epidemiology of tibial shaft fractures. Injury 2015;46:746-50.
Jenkins PJ, Keating JF, Simpson AH. Fractures of the tibial shaft. Surgery 2010;28:489-93.
Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg [Am] 1976;58-A:453-8.
Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 1984;24:742-6.
Kim PH, Leopold SS. In brief: Gustilo-Anderson classification. [corrected]. Clin Orthop Relat Res 2012;470:3270-4.
Brumback RJ, Jones AL. Interobserver agreement in the classification of open fractures of the tibia. The results of a survey of two hundred and forty-five orthopaedic surgeons. J Bone Joint Surg [Am] 1994;76-A:1162-6.