Published online Jul 18, 2021. doi: 10.5312/wjo.v12.i7.495
Peer-review started: February 9, 2021
First decision: May 3, 2021
Revised: May 16, 2021
Accepted: June 3, 2021
Article in press: June 3, 2021
Published online: July 18, 2021
Core Tip: Our aim was to provide an overview of the largest single-center experience in the literature, with minimum 1-year follow-up, of adult type 3 open tibial shaft fractures at Cambridge University Hospitals (a United Kingdom major trauma center). Meticulous and aggressive debridement of GA type 3 open tibia wounds by experienced orthopaedic and plastic surgeons is paramount. Grade 1 to 3A injuries can effectively be treated with reamed or unreamed intramedullary nailing. Grade 3B/C injuries are best treated by circular external fixators as they provide good if not superior outcomes to other limb salvage techniques and allow large bone defects to be addressed via distraction osteogenesis. In addition, Taylor spatial frame offers the advantages of postoperative adjustability.