Early prophylactic autogenous bone grafting in type III open tibial fractures

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dc.contributor.authorKesemenli C.C.
dc.contributor.authorKapukaya A.
dc.contributor.authorSubaşi M.
dc.contributor.authorArslan H.
dc.contributor.authorNecmioğLu S.
dc.contributor.authorKayikçi C.
dc.date.accessioned2024-04-24T18:43:52Z
dc.date.available2024-04-24T18:43:52Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe authors report the results achieved in patients with type III open tibial fractures who underwent primary autogenous bone grafting at the time of debridement and skeletal stabilisation. Twenty patients with a mean age of 35.8 years (range, 24-55) were treated between 1996 and 1999. Eight fractures were type IIIA, 11 were type IIIB, and 1 was type IIIC. At the index procedure, wound debridement, external fixation and autogenous bone grafting with bone coverage were achieved. The mean follow-up period was 46 months (range, 34-55). The mean time to fixator removal was 21 weeks (range, 14-35), and the mean time to union was 28 weeks (range, 19-45). Skin coverage was achieved by a myocutaneous flap in 2 patients, late primary closure in 4, and split skin grafting in 14. One (5%) of the patients experienced delayed union, and 1 (5%) developed infection. In tibial type III open fractures, skin coverage may be delayed, using the surrounding soft tissue to cover any exposed bone after thorough debridement and wound cleansing. Primary prophylactic bone grafting performed at the same time reduces the rate of delayed union, shortens the time to union, and does not increase the infection rate.en_US
dc.identifier.endpage331en_US
dc.identifier.issn0001-6462
dc.identifier.issue4en_US
dc.identifier.pmid15481416
dc.identifier.scopus2-s2.0-4544336801
dc.identifier.scopusqualityQ3
dc.identifier.startpage327en_US
dc.identifier.urihttps://hdl.handle.net/11468/24428
dc.identifier.volume70en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofActa Orthopaedica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleEarly prophylactic autogenous bone grafting in type III open tibial fracturesen_US
dc.titleEarly prophylactic autogenous bone grafting in type III open tibial fractures
dc.typeArticleen_US

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