J Korean Fract Soc.  2010 Jan;23(1):155-159. 10.12671/jkfs.2010.23.1.155.

Acute Management of Soft Tissue Defect in Open Fracture

• Park KC

• KMID: 1461586
• DOI: http://doi.org/10.12671/jkfs.2010.23.1.155

Abstract

No abstract available.

MeSH Terms

Fractures, Open

Figure

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  Fig. 1 Continuous gravity irrigation is effective at removing bacteria with less structural damage to bone when compared with high-pressure pulsatile lavage.

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  Fig. 2 (A) A 34 year-old man sustained type IIIB open tibia shaft fracture combined with closed segmental femur fracture. (B) The VAC system was applied to the open wound after debridement and temporary external fixation. (C) Unreamed tibial nailing and reamed femoral nailing were performed at two weeks after injury. (D) Anterolateral thigh flap was applied at twenty five days after injury. (E) Good functional result without infection was showed at 4 months after injury. (F) The fractures were healed without complication.

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  Fig. 3 (A, B) 31 year-old man sustained type IIIB open tibia shaft fracture combined with both femur and head trauma. The hemodynamic state was unstable. (C) The VAC system was applied to the open wound after debridement and temporary external fixation which was damaged controlled surgery. (D) Unreamed tibial nail, femoral nails and plate were applied at two weeks after injury. (E) Anterolateral thigh flap was applied at twenty one days after injury. (F) Autogenous iliac bone graft was applied to the bone defect at 2 months after injury to increase bone healing. (G) The fractures were healed without complication.

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