{Reference Type}: Journal Article {Title}: Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in the management of open Gustilo Anderson IIIB fractures. Prospective Review of 80 Patients from the Manchester Ortho-Plastic Unit. {Author}: Aljawadi A;Islam A;Jahangir N;Niazi N;Ferguson Z;Sephton B;Elmajee M;Reid A;Wong J;Pillai A; {Journal}: J Orthop {Volume}: 18 {Issue}: 0 {Year}: Mar-Apr 2020 暂无{DOI}: 10.1016/j.jor.2020.01.012 {Abstract}: BACKGROUND: This study aims to evaluate outcomes of using Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in management of Open Gustilo-Anderson IIIB Fractures.
RESULTS: 80 patients were managed with single-stage "Fix and Flap" along with intra-operative Adjuvant Local Antibiotic Bio-Composite. Successful fracture union was achieved in 96.1% of patients, with a limb salvage rate of 96.25%. Infection rate was only 1.25%.
CONCLUSIONS: High union rate and very low deep infection rate can be predictably achieved in complex Open Gustilo-Anderson IIIB fractures by meticulous technique, use of local adjunctive antibiotics bio-composite and a combined ortho-plastic approach.