Open AccessOpen tibial fractures grade IIIC treated successfully with external fixation, negative‐pressure wound therapy and recombinant human bone morphogenetic protein 7
Author(s) -
Babiak Ireneusz
Publication year - 2014
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/j.1742-481x.2012.01112.x
Subject(s) - medicine , negative pressure wound therapy , soft tissue , surgery , tibia , external fixation , bone healing , tibial fracture , bone morphogenetic protein , bone morphogenetic protein 7 , external fixator , diaphysis , orthopedic surgery , pathology , biochemistry , chemistry , alternative medicine , gene
The aim of the therapy in open tibial fractures grade III was to cover the bone with soft tissue and achieve healed fracture without persistent infection. Open tibial fractures grade IIIC with massive soft tissue damage require combined orthopaedic, vascular and plastic–reconstructive procedures. Negative‐pressure wound therapy (NPWT), used in two consecutive cases with open fracture grade IIIC of the tibia diaphysis, healed extensive soft tissue defect with exposure of the bone. NPWT eventually allowed for wound closure by split skin graft within 21–25 days. Ilizarov external fixator combined with application of recombinant human bone morphogenetic protein‐7 at the site of delayed union enhanced definitive bone healing within 16–18 months.