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Strategies in Trauma and Limb Reconstruction

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Open Access 01-08-2013 | Technical Report

Conversion of open tibial IIIb to IIIa fractures using intentional temporary deformation and the Taylor Spatial Frame

Authors: H. Sharma, T. Nunn

Published in: Strategies in Trauma and Limb Reconstruction | Issue 2/2013

Abstract

The closure of small-to-moderate-sized soft tissue defects in open tibial fractures can be successfully achieved with acute bony shortening. In some instances, it may be possible to close soft tissue envelope defects by preserving length and intentionally creating a deformity of the limb. As the soft tissue is now able to close, this manoeuvre converts an open IIIb to IIIa fracture. This obviates the need for soft tissue reconstructive procedures such as flaps and grafts, which have the potential to cause donor-site morbidity and may fail. In this article, the authors demonstrate the technique for treating anterior medial soft tissue defects by deforming the bone at the fracture site, permitting temporary malalignment and closure of the wound. After healing of the envelope, the malalignment is gradually corrected with the use of the Taylor Spatial Frame. We present two such cases and discuss the technical indications and challenges of managing such cases.

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Title: Conversion of open tibial IIIb to IIIa fractures using intentional temporary deformation and the Taylor Spatial Frame
Authors: H. Sharma
T. Nunn
Publication date: 01-08-2013
Publisher: Springer Milan
Published in: Strategies in Trauma and Limb Reconstruction / Issue 2/2013
Print ISSN: 1828-8936
Electronic ISSN: 1828-8928
DOI: https://doi.org/10.1007/s11751-013-0160-0

At a glance: The STEP trials

Springer Medicine

Conversion of open tibial IIIb to IIIa fractures using intentional temporary deformation and the Taylor Spatial Frame

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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