Resumo

ALVAREZ LOPEZ, Alejandro; GARCIA LORENZO, Yenima; GUTIERREZ BLANCO, Mario  e  PUENTES ALVAREZ, Antonio. Open fracture of tibia: basic aspects. AMC [online]. 2011, vol.15, n.2, pp. 388-399. ISSN 1025-0255.

Introduction: open fracture of tibia currently constitutes a true scourge due to the gradual increase of motor transportation speed and the practice of high risk sports. Development: a bibliographical review on open fracture of tibia was conducted, specifically in its classification, early antibiotic-therapy, injury management, when stabilizing, what method to use and finally what decision make according to viability of the extremity. Conclusions: The treatment, facing a patient with open fracture of tibia must be aggressive by means of toilette and early dèbridement, use of antibiotics and intramedullary fixation through auto-blocker pins in one and two grades according to Gustilo and Anderson classification; on the other hand, type three fractures generally are managed by external fixation.

Palavras-chave : TIBIAL FRACTURES [therapy]; ANTI-BACTERIAL AGENTS [therapeutic use]; FRACTURES FIXATION; FRACTURE FIXTATION, INTRAMEDULLARY; REVIEW LITERATURE AS TOPIC.

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