Algorithm for treatment of complex segmental and complex irregular diaphysial fractures of tibia

Abstract

In the article, clinical experience of surgical treatment of 239 patients with complex segmental (segmental type C2) and complex irregular (irregular type C3 according to the AO classification) diaphysial fractures of tibia is studied. 215 (89.9 %) patients had Ilizarov’s external fixator and 24 (10.1 %) patients had blocked intramedullary nailing. The article determined the algorithm of preoperative and postoperative management, surgical treatment depending on the nature of bone tissue damage, the size and nature of wounds in open fractures, and the degree of damage to soft tissues in closed fractures.