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Fractures of the Tibia pp 165–176Cite as

Open Tibial Fracture with Immediate Fixation and Early Soft Tissue Coverage

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Abstract

This is a 35-year-old male involved in a motorcycle collision. The patient was brought in as a trauma alert where he was noted to have injuries isolated to his right lower extremity, including an open distal tibia fracture, distal fibular fracture, and medial malleolar fracture. Exposed bone and soft tissue including tendonous structures, were noted. His wounds were dressed sterilely and he was given appropriate prophylactic IV antibiotics. A short leg splint was applied.

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Further Reading

  • Brinker MR, O’Connor DP. Exchange nailing of ununited fractures. J Bone Joint Surg Am. 2007;89(1):177–88.

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  • Akhtar S, Hameed A. Versatility of the sural fasciocutaneous flap in the coverage of lower third leg and hind foot defects. J Plast Reconstr Aesthet Surg. 2006;59(8):839–45. Epub 2006 Mar 9.

    Article  PubMed  Google Scholar 

  • Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res. 1989;243:36–40.

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  • Stannard JP, Singanamala N, Volgas DA. Fix and flap in the era of vacuum suction devices: what do we know in terms of evidence based medicine? Injury. 2010;41(8):780–6. doi:10.1016/j.injury.2009.08.011. Epub 2010 May 14.

    Article  PubMed  Google Scholar 

  • Papakostidis C, Kanakaris NK, Pretel J, Faour O, Morell DJ, Giannoudis PV. Prevalence of complications of open tibial shaft fractures stratified as per the Gustilo-Anderson classification. Injury. 2011;42(12):1408–15. doi:10.1016/j.injury.2011.10.015. Epub 2011 Oct 22.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Director of Orthopaedic Trauma, Holmes Regional Trauma Center, Melbourne, FL, USA

    Daniel N. Segina MD (Assistant Professor)

  2. University of Central Florida College of Medicine, Orlando, FL, USA

    Daniel N. Segina MD (Assistant Professor)

Authors
  1. Daniel N. Segina MD
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Corresponding author

Correspondence to Daniel N. Segina MD .

Editor information

Editors and Affiliations

  1. NYU Langone Medical Center Hospital for Joint Diseases, New York, New York, USA

    Nirmal C. Tejwani

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© 2016 Springer International Publishing Switzerland

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Segina, D.N. (2016). Open Tibial Fracture with Immediate Fixation and Early Soft Tissue Coverage. In: Tejwani, N. (eds) Fractures of the Tibia. Springer, Cham. https://doi.org/10.1007/978-3-319-21774-1_15

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  • DOI: https://doi.org/10.1007/978-3-319-21774-1_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21773-4

  • Online ISBN: 978-3-319-21774-1

  • eBook Packages: MedicineMedicine (R0)

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