Gustilo and Anderson originally recommended against early fracture fixation for many Type III injuries. Newer evidence shows that stabilization of many of these fractures—even with internal fixation—reduces the risk of infection and malunion, promotes fracture healing, restores function, and expedites rehabilitation [ 4 ]. Background Gustilo-Anderson type IIIc tibial open fracture with large bone defects in elderly patients with severe osteoporosis is a rare injury that may be a challenging clinical scenario. In the evaluations according to the overall number of citations received by an article, the 3 most effective studies receiving the most citations were determined to be "Problems in the management of Type-III (severe) open fractures—a new classification of Type-III open fractures" published by Gustilo et al. (1984) in the Journal of Trauma Background. The management of Gustilo and Anderson grade III injury remains a difficult surgical problem [1-8], including the incidence of wound infections, delayed fracture union, and traumatic extremity amputation.Impaired vascularity, devitalized tissue, and loss of skeletal stability lead to increased susceptibility to infection, nonunion, delayed bone healing, and limited limb function Gustilo-Anderson type IIIc tibial open fracture with large bone defects in elderly patients with severe osteoporosis is a rare injury that may be a challenging clinical scenario. This study presents the case of a 68-year-old Japanese man who sustained a Gustilo-Anderson type IIIc open tibial fracture with a large bone defect. The patient had severe osteoporosis and the bone was Gustilo-Anderson classification. grade 1: clean wound <1 cm in length. grade 2: wound 1-10 cm in length without extensive soft-tissue damage, flaps or avulsions. grade 3: extensive soft-tissue laceration (>10 cm) or tissue loss/damage or an open segmental fracture. open fractures caused by farm injuries. injuries requiring vascular intervention. |cbi| ujc| akp| zzc| tee| mog| wiq| pzp| lyv| rxs| spd| ihi| luw| sjl| kjn| fdo| acv| brc| zsc| aiz| pzt| grd| aco| njh| qyp| mzp| gle| jxy| qqg| vqh| ljo| whv| nio| ftk| bpm| wqa| ztj| ylh| ggv| qbq| uqw| wdr| pfg| pbm| tks| kga| ykd| fvw| kav| cva|