Current concepts in the management of open tibia fractures

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dc.contributor.authorManjra, M. A.en_ZA
dc.contributor.authorBasson, T.en_ZA
dc.contributor.authorDu Preez, G.en_ZA
dc.contributor.authorDu Toit, J.en_ZA
dc.contributor.authorFerreira, N.en_ZA
dc.date.accessioned2021-11-08T07:07:28Zen_ZA
dc.date.available2021-11-08T07:07:28Zen_ZA
dc.date.issued2019-11en_ZA
dc.descriptionCITATION: Manjra, M. A. et al. Current concepts in the management of open tibia fractures. South African Orthopaedic Journal, 18(4):52-62. doi:10.17159/2309-8309/2019/v18n4a7en_ZA
dc.descriptionThe original publication is available at https://www.saoj.org.za/index.php/saoj/indexen_ZA
dc.description.abstractENGLISH ABSTRACT: Open tibia fractures are associated with an increased risk of infection, delayed union, non-union and wound complications. Management is aimed at mitigating the risk of infection while optimising the biological and biomechanical environment to encourage soft tissue and bone healing. With ongoing clinical trials and research, our knowledge around best clinical practice continues to evolve. Multiple consensus documents and protocols have been formulated, yet some controversy exists around the ideal management for high risk grade III injuries. Early antibiotic therapy has become a cornerstone in the management of these injuries. However, some controversy remains around the type and duration of antibiotic therapy. Emergent debridement and lavage is a critical factor in treatment success. Intramedullary nailing is a viable fixation option for most open tibia fractures while circular external fixation has gained prominence in the management of high energy grade III injuries, especially in the presence of bone and soft tissue loss. The timing of the various treatment interventions continues to provoke debate and controversy. Considering the available literature, the local context needs to be considered. Inadequate access to theatre, shortage of staff, resources and expertise are frequently encountered. We aim to elucidate current literature with regard to the management of open tibia fractures guided in part by various consensus documents and protocols. Level of evidence: Level 5en_ZA
dc.description.urihttps://www.saoj.org.za/index.php/saoj/article/view/349en_ZA
dc.description.versionPublisher’s versionen_ZA
dc.format.extent11 pagesen_ZA
dc.identifier.citationManjra, M. A. et al. Current concepts in the management of open tibia fractures. South African Orthopaedic Journal, 18(4):52-62. doi:10.17159/2309-8309/2019/v18n4a7en_ZA
dc.identifier.issn2309-8309 (online)en_ZA
dc.identifier.issn1681-150X (print)en_ZA
dc.identifier.otherdoi:10.17159/2309-8309/2019/v18n4a7en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/123374en_ZA
dc.language.isoen_ZAen_ZA
dc.publisherSouth African Orthopaedic Associationen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectFractures, Openen_ZA
dc.subjectTibiaen_ZA
dc.subjectDebridementen_ZA
dc.subjectAntibiotic -- Treatmenten_ZA
dc.subjectExternal skeletal fixation (Surgery)en_ZA
dc.subjectInternal fixation in fracturesen_ZA
dc.titleCurrent concepts in the management of open tibia fracturesen_ZA
dc.typeArticleen_ZA
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