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The Journal of Bone and Joint Surgery 78:1428-37 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Open Fractures of the Tibial Shaft. Current Treatment*{dagger}

STEVEN A. OLSON, M.D.{ddagger}, SACRAMENTO, CALIFORNIA

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons


   Introduction
 
The tibial shaft is one of the most common sites of an open fracture18, a fracture that involves a break in the skin with soft tissues communicating with the fracture or its hematoma, or both. The specific methods of skeletal stabilization and soft-tissue treatment of open and closed fractures continue to be topics of debate in orthopaedic traumatology. The type of treatment selected for open tibial fractures depends on the individual characteristics of the fracture and the concomitant soft-tissue injury, making experience and clinical judgment an important part of the over-all treatment13,42. Most orthopaedists treat only a few of these injuries each year; however, there are increasing expectations for surgeons to understand and apply the techniques of treatment of open fractures, such as the use of flap coverage and bone transplant techniques, to help patients to obtain an optimum functional outcome13.


   Treatment in the Emergency Room
 
In the emergency room, initial attention . . . [Full Text of this Article]


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P. V. Giannoudis, C. Papakostidis, and C. Roberts
A review of the management of open fractures of the tibia and femur
J Bone Joint Surg Br, March 1, 2006; 88-B(3): 281 - 289.
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