ABSTRACT
The present study is a review of 30 cases of grade-III B Musculoskeletal trauma treated at Bolan Medical Complex Hospital, Quetta. The patient with grade-Ill B Musculoskeletal injury needs soft tissue coverage and bone grafting. The purpose of study was to find out rate of infection, as well as non-union, and functional compromise after early or late re-construction of soft tissue coverage and bone grafting in grade-III B open fractures of bone. Rotational fascio-cuteneous myofascio cutenious or relaxing incision was used for coverage of bear bone. Thirty cases were scheduled each case was properly follow up for a period of six months to two year. The potential benefit of soft tissue coverage and bone grafting is time related. Experience with thirty patients shows that there is significant decrease in rate of infection as well as non-union in patient who had soft tissue coverage and bone grafting within one to two weeks time after the injury, Importance of time factor has been emphasized