All open fractures especially open fracture of the
Seven patients of open tibia type III C the Emergency Unit, Sardjito hospital from 1990 to 1995. Three patients underwent early amputation and four patients ultimately required secondary amputation from three to twelve days after vascular repair intervention. Open tibial fractures associated with vascular trauma need an imediate decision between early amputation and limb salvage. Proactive stud…
The amputation and reconstructive procedure of the management of open tibial fracture type III is still of interest and controversy because the amputation effort is considered as a punishment of primary treatment but a reconstructive method in massive lower extremity trauma is difficult. The MESS is a scoring system that can be applied to mangled extremity and help one determines which mangled …