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Treatment Options for Wound Coverage and Infection Control in Open Tibia Fractures

Summary: Complex open tibia fractures require effective and innovative approaches to achieve a successful union while avoiding infection. Compromised vascular supply at the fracture site, marginal skin coverage, and wound contamination provide challenges to the orthopedic surgeon. Delayed versus primary soft tissue coverage, external versus internal fixation, and parenteral prophylactic therapy versus local antibiotic therapy are considered