Clinical Study
A Staged Surgical Treatment Outcome of Type 3 Open Tibial Fractures
Table 1
Patients demographics and staged treatment outcome.
| | Number | Age | Gender | Side | Injury | AO/OTA classification | Gustilo-Anderson grade | Comorbidity or other injuries | 1st stage of treatment | 2nd stage of treatment | 3rd stage of treatment | Complication on followup | Outcome |
| | 1 | 21 | F | R | FA | 41A2 | 3B | — | DI + S | DI + EF + FCF | Ilizarov | — | Good | | 2 | 33 | M | R | TA | 41A2 | 3A | Radius fracture | DI + S | DI + EF + CRPF
(for radius fracture) | Plate-screw | — | Excellent | | 3 | 15 | M | R | TA | 41A3 | 3C | Vessel injury | DI + S | DI + EF + VR | Ilizarov | Delayed union | Fair | | 4 | 38 | F | L | Fall | 42A1 | 3A | Calcaneus fracture | DI + S | DI + EF + ORIF
(for calcaneus fracture) | IMN | — | Excellent | | 5 | 27 | M | L | TA | 42C2 | 3A | — | DI + S | DI + EF | IMN | — | Good | | 6 | 50 | M | R | TA | 42A3 | 3A | Hypertension | DI + S | DI + EF | IMN | — | Excellent | | 7 | 48 | M | R | TA | 42B2 | 3B | Smoke | DI + S | DİEF + FCF | Ilizarov | Nonunion | Poor | | 8 | 44 | F | R | Fall | 42B1 | 3B | Farm injury | DI + S | DI + EF | Ilizarov | Osteomyelitis | Poor | | 9 | 34 | M | L | TA | 42B2 | 3A | — | DI + S | DI + EF | IMN | — | Excellent | | 10 | 52 | M | R | FA | 42B3 | 3B | — | DI + S | DİEF + FF | IMN | — | Good | | 11 | 43 | F | R | TA | 42B2 | 3C | Vessel injury | DI + S | DİEF + VR | IMN | — | Good | | 12 | 25 | M | L | TA | 42C1 | 3B | — | DI + S | DİEF + FCF | IMN | — | Good | | 13 | 28 | M | R | TA | 42B2 | 3A | — | DI + S | DI + EF | Plate-screw | — | Excellent | | 14 | 37 | M | R | Fall | 42C2 | 3C | Vessel injury | DI + S | DI + EF + VR | Plate-screw | — | Fair | | 15 | 19 | F | R | Fall | 43A1 | 3A | — | DI + S | DI + EF | IMN | — | Good | | 16 | 66 | M | R | Fall | 43A2 | 3B | Diabetes M. | DI + S | DI + EF + FCF | Ilizarov | Osteomyelitis | Poor | | 17 | 34 | M | R | TA | 43A3 | 3B | — | DI + S | DI + EF + FF | Ilizarov | — | Good | | 18 | 32 | M | L | TA | 43A1 | 3A | — | DI + S | DI + EF | Plate-screw | — | Excellent | | 19 | 41 | F | R | TA | 43B1 | 3A | Lateral malleol Fr. | DI + S | DI + EF + ORIF
(for lateral malleol fr) | Plate-screw | — | Good |
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DI + S: Debridement and irrigation + Splints, EF: External fixation, FCF: Fasio cutan flep, VR: Vessel repair, FF: Free flep, TA: Traffic accident, FA: Fire arms, CRPF: Closed reduction percutan fixation, ORIF: Open reduction internal fixation, IMN: Intrameduller nailing.
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