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Tibia is most frequent site of an open fracture, with incidence ranging from 49.4% to 63.2%. India has the highest road accident rates in the world one of every forty two vehicle in country had met with an accident. Out of 30 patients 15 patients treated by external fixation and imil nailing and 7 patients by external fixation and ilizarov, 8 patients by ilizarov fixation. Skin grafting done in 12 cases and flap coverage in 4 cases. Over all good to excellent results seen in 20 cases, fair in 6 cases and poor in 4 cases. Early intervention and aggressive soft tissue management in open tibial fractures result in decreased number of procedures, minimal hospital stay and early return to their daily activity.

Role of various modalities in the management of compound grade 3A and 3B fractures of tibia