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The Bone & Joint Journal

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The Bone & Joint Journal
Vol. 98-B, Issue 3 | Pages 420 - 424
1 Mar 2016
Wordsworth M Lawton G Nathwani D Pearse M Naique S Dodds A Donaldson H Bhattacharya R Jain A Simmons J Hettiaratchy S

Aims

The management of open lower limb fractures in the United Kingdom has evolved over the last ten years with the introduction of major trauma networks (MTNs), the publication of standards of care and the wide acceptance of a combined orthopaedic and plastic surgical approach to management. The aims of this study were to report recent changes in outcome of open tibial fractures following the implementation of these changes.

Patients and Methods

Data on all patients with an open tibial fracture presenting to a major trauma centre between 2011 and 2012 were collected prospectively. The treatment and outcomes of the 65 Gustilo Anderson Grade III B tibial fractures were compared with historical data from the same unit.