Early microsurgical reconstruction in Gustilo Type III B fracture of Distal Tibia. A case report

Authors

  • Piyush Giri Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Sushma Kunwar Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Karuna Khadka Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Shrinkhala Pokhrel Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Pratishtha Pandey Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Sandip Oli Department of Orthopedics, Pokhara Academy of Health Sciences, Western Regional Hospital
  • Narendra Vikram Gurung Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital

Abstract

Introduction Gustillo Anderson Type IIIB is injury involving high intensity, extensive periosteal stripping and require soft tissue coverage. It is associated with high morbidity and long hospital stay. Early man- agement of fracture and soft tissue defect results in lower morbidity and shorter hospital stay. We present a case of 43-year male who successfully underwent definitive fixation of fracture and soft issue coverage within 72 hours of injury with free latissmus dorsi flap.

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Published

2024-01-01

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