Delayed presentation of IIIB tibial fractures: outcome following management in a specialist centre

Delayed presentation of IIIB tibial fractures: outcome following management in a specialist centre The aim of this study was to assess whether the outcome of delayed presentation of open tibial fractures from neighbouring orthopaedic units can be salvaged in a specialist ortho-plastic centre. All grade IIIB tibial fractures treated in a specialist unit over an 18-month period were retrospectively reviewed. Time to definitive soft tissue coverage, complications, number of operations and method of skeletal and soft tissue reconstruction were also reviewed. The functional outcome was assessed using the Enneking score. Forty-five consecutive patients (27 male and 18 female; mean age, 42.3 years) were treated using strict surgical protocols. Seventeen patients were referred locally, and 28 from seven neighbouring orthopaedic units. The mean time from injury to definitive surgery was 3.9 and 7.7 days for patients referred locally and those referred from neighbouring units, respectively. Definitive surgery, from the time of initial plastic surgery assessment, was performed at a mean of 2.4 days for patients referred locally and 2.8 days for patients referred from neighbouring units. One patient developed a deep soft tissue wound infection. There were no delayed amputations or any cases of infected non-union. Patients from neighbouring units underwent, on average, one extra operation. There was a delay from the time of injury in achieving soft tissue coverage in these patients (7.7 vs. 3.9 days). No significant difference in return of limb function between the two groups was detected. Referral to a specialist centre may produce equivalent functional return even if there is a delay in definitive treatment, at the expense of further risky surgery. European Journal of Plastic Surgery Springer Journals

Delayed presentation of IIIB tibial fractures: outcome following management in a specialist centre

Loading next page...
Copyright © 2012 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses
    Gustilo, RB; Anderson, JT

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial