Study finds, Radical treatment as a viable option of severe
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This study aimed to retrospectively analyze clinical data of a series of patients with severe open fractures of extremities (Gustilo IIIb or IIIc), who achieved a satisfactory outcome through radical orthoplastic surgery, so as to provide a reference for determining the treatment of severe open fractures of extremities.

The clinical data of 41 patients with severe open fractures of the limb (Gustilo IIIb or IIIc) who had successful surgical debridement, fixation, and soft tissue reconstruction in one stage were analyzed retrospectively. A regular follow-up was used to collect and assess postoperative variables, such as infection rate and union time.

Results:
--The mean (±SD) age of the patients was 38 ± 16 years.
--A total of 90 open fractures and severe soft tissue damages were analyzed.
--The soft tissue cover was achieved within 72 h. The overall rate of infection was 14.6%.
--Sex and the Mangled Extremity Severity Score were associated with infection. The median union time of 40 patients (one amputation) was 32 weeks.

In conclusion, when compared to prior research on high-grade open fractures treated with a two-stage orthopedic approach, the overall rate of infection was decreased in our study. The effect of infection rate and union time was similar to what had been observed in prior investigations. These findings suggested that a single-stage radical orthoplastic therapy for severe open fractures was a viable and dependable choice.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02479-2
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