Is there evidence-based guidance for timing of soft tissue coverage of grade III B tibia fractures?

International Journal of Lower Extremity Wounds

Volumn 5, Issue 4, 2006, Pages 261-270

  Breugem, Corstiaan C ^a   Strackee, Simon D ^b  

^a UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

Author keywords

Grade III B tibia fractures; Gustilo III B fractures; Lower extremity reconstruction; Lower limb trauma; Open tibia fractures; Soft tissue reconstruction with open tibia fractures

Indexed keywords

ANTIBIOTIC AGENT; GENTAMICIN;

ANTIBIOTIC THERAPY; BACTERIAL INFECTION; BONE RADIOGRAPHY; CONFERENCE PAPER; DISEASE ASSOCIATION; DISEASE SEVERITY; EVIDENCE BASED MEDICINE; FRACTURE FIXATION; FRACTURE HEALING; FREE SKIN GRAFT; HUMAN; INFECTION COMPLICATION; INFECTION PREVENTION; MEDICAL PRACTICE; OPEN FRACTURE; OSTEOMYELITIS; PRIORITY JOURNAL; PSEUDARTHROSIS; SOFT TISSUE; SOFT TISSUE INJURY; SURGICAL TECHNIQUE; TIBIA FRACTURE;

EVIDENCE-BASED MEDICINE; FRACTURES, OPEN; HUMANS; MUSCLE, SKELETAL; OSTEOMYELITIS; PRACTICE GUIDELINES; SURGICAL FLAPS; TIBIAL FRACTURES; TRAUMA SEVERITY INDICES; TREATMENT OUTCOME;

EID: 33750728419     PISSN: 15347346     EISSN: 15526941     Source Type: Journal    
DOI: 10.1177/1534734606295030     Document Type: Conference Paper

References (74)

1. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 1984;24:742-6.
2. Byrd HS, Spicer TE, Cierney G 3rd. Management of open tibial fractures. Plast Reconstr Surg 1985;76:719-30.
3. Kocher MS. Early limb salvage: open tibia fractures of Ambroise Pare (1510-1590) and Percivall Pott (1714-1789). World J Surg 1997;21(1):116-22.
4. Griffin JR, Thornton JF. Lower extremity reconstruction. Selected Readings in Plastic Surgery 2003;9(37):1-31.
5. Byrd HS, Cierney G 3rd, Tebbets JB. The management of open tibial fractures with associated soft-tissue loss. External pin fixation with early flap coverage. Plast Reconstr Surg 1981;68:73-82.
6. Caudle RJ, Stern PJ. Severe open fractures of the tibia. J Bone Joint Surg Am 1987;69:801-7.
7. Cierny G, Byrd HS, Jones RE. Primary versus delayed soft tissue coverage for severe open tibial fractures. A comparison of results. Clin Orthop Relat Res 1983;178:54-63.
8. Edwards CC, Simmons SC, Browner BD, Weigel MC. Severe open tibia fractures. Results treating 202 injuries with external fixation. Clin Orthop Relat Res 1988;230:98-115.
9. Francel TJ. Improving reemployment rates after limb salvage of acute severe tibial fractures by microvascular soft-tissue reconstruction. Plast Reconstr Surg 1994;93:1028-34.
10. Ger R, Efron G. New operative approach in the treatment of chronic osteomyelitis of the tibial diaphysis. A preliminary report. Clin Orthop Relat Res 1970;70:165-9.
11. Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 1986;78:285-92.
12. Bosse MJ, MacKenzie EJ, Kellam JF, et al. An analysis of outcomes of reconstruction or amputation after leg-threatening injuries. N Engl J Med 2002;347:1924-31.
13. Bosse MJ, Mackenzie EJ, Kellam JF, et al. Should severely injured legs be saved or amputated? JAMC 2003;168:1570-2.
14. Mackenzie EJ, Bosse MJ, Kellam JF, et al. Factors influencing the decision to amputate or reconstruct after high-energy lower extremity trauma. J Trauma 2002;52:641-9.
15. Lange RH. Limb reconstruction versus amputation decision making in massive lower extremity trauma. Clin Orthop Relat Res 1989;243:92-9.
16. Tomaino MM. Amputation or salvage of type 3B/3C tibial fractures: what the literature says about outcomes. Am J Orthop 2001;30(5):380-5.
17. Patzakis MJ, Wilkins J, Moore TM. Use of antibiotics in open tibial fractures. Clin Orthop 1983;178:31-5.
18. Clancey GJ, Hansen ST Jr. Open fractures of the tibia: a review of one hundred and two cases. J Bone Joint Surg Am 1978;60:118-22.
19. Gustilo RB, Anderson JT. Prevention of infection in the treatment of 1025 open fractures of long bones. Retrospective and prospective analyses. J Bone Joint Surg Am 1976;58:453-8.
20. Fischer MD, Gustilo RB, Varecka TF. The timing of flap coverage, bone grafting, and intramedullary nailing in patients who have a fracture of the tibial shaft with extensive soft tissue injury. J Bone Joint Surg Am 1991;73;1316-22.
21. Francel TJ, vander Kolk CA, Hoopes JE, et al. Microvascular soft-tissue transplantation for reconstruction of acute open tibial fractures: timing of coverage and long-term functional results. Plast Reconstr Surg 1992;89:478-7.
22. Gopal S, Majumder S, Batchelor AG, et al. Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. J Bone Joint Surg Br 2000;82;959-66.
23. Hammert WC, Minarchek J, Trzeciak MA. Free-flap reconstruction of traumatic lower extremity wounds. Am J Orthop 2000;29 (9 Suppl):22-6.
24. Hertel R, Lambert SM, Muller S, et al. On the timing of soft-tissue reconstruction for open fractures of the lower leg. Arch Orthop Trauma Surg 1999;119:7-12.
25. Hertel R, Strebel N, Ganz R. Amputation versus reconstruction in traumatic defects of the leg. Outcome and costs. J Orthop Trauma 1996;10:223-9.
26. Sinclair JS, McNally MA, Small JO, Yeates HA. Primary free-flap cover of open tibial fractures. Injury 1997;28:581-7.
27. Trabulsy PP, Kerley SM, Hoffman WY. A prospective study of early soft tissue coverage of grade IIIb tibial fractures. J Trauma 1994;36:661-8.
28. Yaremchuk MJ, Brumback RJ, Manson PA, et al. Acute and definitive management of traumatic osteocutaneous defects of the lower extremity. Plast Reconstr Surg 1987;80(1):1-14.
29. Yaremchuk MJ, Gan BS. Soft tissue management of open tibia fractures. Acta Orthopaedica Belg 1996;62 Suppl 1:188-92.
30. Tulner SA, Schaap GR, Strackee SD, et al. Long-term results of multiple-stage treatment for posttraumatic osteomyelitis of the tibia. J Trauma 2004;56:633-42.
31. Khatod M, Botte MJ, Hoyt DB, et al. Outcome in open tibia fractures: relationship between delay in treatment and infection. J Trauma 2003;55:949-54.
32. Heller LL, Levin LS. Lower extremity microsurgical reconstruction. Plast Reconstr Surg 2001;108:1029-42.
33. Hoogendoorn JM, van der Werken C. The adverse effects of smoking on healing of open tibial fractures. Ned Tijschr Geneeskd 2002;146:1640-4.
34. Castillo RC, Bosse MJ, MacKenzie EJ, et al. Impact of smoking on fracture healing and risk of complications in limb-threatening open tibia fractures. J Orthop Trauma 2005;19(3):151-7.
35. Rhinelander FW. Tibial blood supply in relation to fracture healing. Clin Orthop Relat Res 1974;105:34-81.
36. Macnab I, De Haas WG. The role of periosteal blood supply in the healing of fractures of the tibia. Clin Orthop Rel Res 1974;105:27-33.
37. Holden CE. The role of blood supply to soft tissue in the healing of diaphyseal fractures. An experimental study. J Bone Joint Surg Am 1972;54:993-1000.
38. Richards RR, McKee MD, Paitich CB, et al. A comparison of effects of skin coverage and muscle flap coverage on early strength of union at the site of osteotomy after devascularization of a segment of canine tibia. J Bone Joint Surg 1991;73:1323-30.
39. Richards RR, Orsini EC, Mahoney JL, Verschuren R. The influence of muscle flap coverage on the repair of devascularized tibial cortex. An experimental investigation in the dog. Plast Reconstr Surg 1987;79:946-58.
40. Richards RR, Schemitsch EH. Effect of muscle flap coverage on bone blood flow following devascularization of a segment of tibia. An experimental investigation in the dog. J Orthop Res 1989;7:550-8.
41. Cole JD, Ansel LJ, Schwartzberg R. A sequential protocol for management of severe open tibial fractures. Clin Orthop Rel Res. 1995;315:84-103.
42. Ponten B. The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg 1981;34:215-20.
43. Blondeel P, van Landuyt K, Hamdi MJ, Monstrey S. Soft tissue reconstruction with the superior gluteal artery perforator flap. Clin Plast Surg 2003;30:371-82.
44. Higgins JP, Orlando GS, Blondeel PN. Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap. Br J Plast Surg 2002;55:83-5.
45. Verpaele AM, Blondeel PN, Van Landuyt K, et al. The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores. Br J Plast Surg 1999;52:385-91.
46. Koshima I, Nanba Y, Tsutsui T, et al. Perforator flaps in lower extremity reconstruction. Handchir Mikrochir Plast Chir 2002;34:251-6.
47. Van Landuyt K, Blondeel P, Hamdi M, et al. The versatile DIEP flap: its use in lower extremity reconstruction. Br J Plast Surg 2005;58:2-13.
48. Guerra AB, Gill PS, Trahan CG, et al. Comparison of bacterial inoculation and transcutaneous oxygen tension in the rabbit S1 perforator and latissimus dorsi musculocutaneous flaps. J Reconstr Microsurg 2005;21:137-43.
49. Burke JF. The effective period of preventive antibiotic action in experimental incisions and dermal lesions. Surgery 1961;50:161-8.
50. Russell GV Jr, King C, May CG, et al. Once daily high-dose gentamicin to prevent infection in open fractures of the tibial shaft. A preliminary investigation. South Med J 2001;94:1185-91.
51. Khouri RK, Shaw WW. Reconstruction of the lower extremity with microvascular free flaps: a 10-year experience with 304 consecutive cases. J Trauma 1989;29:1086-94.
52. Russell G, Henderson R, Arnett G. Primary or delayed closure for open tibial fractures. J Bone Joint Surg 1990;72B:125-8.
53. DeLong WG Jr, Born CT, Wei SY, et al. Aggressive treatment of 119 open fracture wounds. J Trauma 1999;46:1049-54.
54. Brumback RJ, Jones AL. Interobserver agreement in the calcification of open fractures of the tibia. The results of a survey of 245 orthopaedic surgeons. J Bone Joint Surg Am 1994;76:1162-6.
55. Tobin GR. Closure of contaminated wounds: biologic and technical considerations. Surg Clin North Am 1984;64:639-52.
56. Breidenbach WC 3rd. Emergency free tissue transfer for reconstruction of acute upper extremity wounds. Clin Plast Surg 1989;16(3):505-14.
57. Bhandari M, Schemitsch EH, Adili A, Lachowski RJ, et al. High and low pressure pulsatile lavage of contaminated tibial fractures: an in vitro study of bacterial adherence and bone damage. J Orthop Trauma 1999;13:526-33.
58. Robson C. Rapid bacterial screening in the treatment of civial wounds. J Surg Res 1973;14:426-9.
59. Bhandari M, Guyatt GH, Swiontkowski MF, et al. Treatment of open tibia fractures of the shaft of the tibia. J Bone Joint Surg 2001;83B:62-8.
60. Blick SS, Brumback RJ, Lakatos R, et al. Early prophylactic bone grafting of high-energy tibial fractures. Clin Orthop Relat Res 1989;240:21-41.
61. Allen RJ, Dupin CL, Dreschnack PA, et al. The latissimus dorsi/scapular bone flap "the latissimus/bone flap." Plast Reconstr Surg 1994;94:988-96.
62. Heller L, Phillips K, Levin LS. Pedicled osteocutaneous fibula flap for reconstruction of the lower extremity. Plast Reconstr Surg 2002;109:2037-42.
63. Lin CH, Wei FC, Chen HC, Chuang DC. Outcome comparison in traumatic lower-extremity reconstruction by using various composite vascularized bone transplantation. Plast Reconstr Surg 1999;104:984-92.
64. Ilizarov GA, Ledyaev VI. The replacement of long tubular bone defects by lengthening distraction osteotomy of one of the fragments.1969. Clin Orthop Relat Res 1992;280:7-10.
65. Chang N, Mathes SJ. Comparison of the effect of bacterial inoculation in musculocutaneous and random pattern flaps. Plast Reconstr Surg 1982;70:1-10.
66. Verhelle N, Vranckx J, Van den Hof B, Heymans O. Bone exposure in the leg: is a free muscle flap mandatory? Plast Reconstr Surg 2005;116(1):170-7.
67. Benacquista T, Kasabian AK, Karp NS. The fate of lower extremities with failed free flaps. Plast Reconstr Surg 1996;98(5):834-40.
68. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg 1997;38:563-76.
69. Parrett BM, Matros E, Pribaz JJ, Orgill DP. Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibia-fibula fractures. Plast Reconstr Surg 2006;117(4):1315-22.
70. DeFranzo AJ, Argenta LC, Marks MW, et al. The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone. Plast Reconstr Surg 2001;108:1184-91.
71. Herscovici D Jr, Sanders RW, Scaduto JM. Vacuum-assisted closure (VAC therapy) for the management of patients with high-energy soft tissue injuries. J Orthop Trauma 2003;17:683-8.
72. Delay E, Gounot N, Bouillot A, et al. Autologous latissimus breast reconstruction: a 3 year clinical experience with 100 patients. Plast Reconstr Surg 1998;102:1461-78.
73. Rios JL, Pollock T, Adams WR Jr. Progressive tension sutures to prevent seroma formation after latissimus dorsi harvest. Plast Reconstr Surg 2003;112:1779-83.
74. Heinz TR, Cowper PA, Levin LS. Microsurgery: costs and outcome. Plast Reconstr Surg 1999;104(1):89-96.