Gustiloアンダーソンiiiタイプ建設
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 particular, Gustilo-Anderson type III open fractures have the highest risk of infection compared with the less severe type I and II fractures 11-13 . Gustilo et al. reported that
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 ].
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