External fixation for type III open tibial fractures

J Bone Joint Surg Br. 1990 Sep;72(5):801-4. doi: 10.1302/0301-620X.72B5.2211760.


An analysis of 51 type III open tibial fractures treated by external skeletal fixation is presented. The fractures are subdivided according to the classification of Gustilo, Mendoza and Williams (1984) into types IIIa, IIIb and IIIc. The different prognoses of these fracture subtypes is examined. The use of the Hoffmann and Hughes external fixators in the management of type III open tibial fractures is presented and it is suggested that the prognosis is independent of the type of fixator used.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • External Fixators*
  • Female
  • Fracture Fixation / adverse effects
  • Fracture Fixation / instrumentation*
  • Fractures, Open / surgery*
  • Humans
  • Male
  • Middle Aged
  • Osteomyelitis / etiology
  • Prognosis
  • Surgical Wound Infection / etiology
  • Tibial Fractures / surgery*