Challenges of the induced-membrane technique in the reconstruction of traumatic tibial defect with limited resources : a cohort study.

This study sought foremost to evaluate the outcomes of applying the induced membrane technique (IMT) for tibia reconstruction within the context of a sub-Saharan Africa trauma center. Second, this study aimed to elucidate the conditions of IMT usage in a limited-resource setting. A retrospective study was performed among patients treated via IMT for posttraumatic tibial bone defects who had follow-up data available for at least 12 months.

Soft tissue reconstruction in the leg by orthopedic surgeons: Practices at an African trauma center.

Introduction: Soft-tissue coverage is a crucial step when treating open tibial fractures, which is often performed by orthopedic surgeons in a low resource setting. The objective of this study was to analyze the use of non-microsurgical flaps to treat such injuries in a West African trauma center.

Hypothesis: Pedicled flaps are reliable procedures that can be used by any orthopedic surgeon for soft-tissue coverage in the leg.

Management of Gustilo type IIIB open tibial shaft fractures with limited resources: experience from an African trauma center.

Purpose: We sought to evaluate the management of Gustilo type IIIB open tibia diaphyseal fractures in an African trauma center with respect to soft tissue defect management and bone union achievement. Functional outcome assessment was the secondary objective.

Methods: A retrospective review was conducted including patients treated for open tibia fractures requiring flap coverage between 2007 and 2011.