Role of early soft tissue coverage and bone grafting in management of grade-III-B musculoskeletel trauma-experience of 30 cases

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

Early outcome of operative fixation of tibial pilon fractures

To evaluate the outcome of operative fixation of pilon fracture. It was descriptive, non randomized uncontrolled study. It was conducted at Civil Hospital Quetta. Study included 41 patients out of which 10 patients were excluded from study due to various reasons at the end of study 31 patients were available, whose results were analyzed. A total number of 31 patients entered the study between 15 June 2007 June 20, 2008. The patients that were lost in follow up were not included in the study. Out of the 31 cases in 11 the fibula was fixed with 1/3rd tubular plate with 3 patients having good, 4 fair and 5 poor result. Four cases where ORIF with spoon plate was done on tibia and maintaining fibula length by 1/3 tubular plate had good results [100%]. In 3 cases tibia was fixed by screw only and fibula length was maintained by 1/3 tubular plate one had good one fair and poor results. In cases where tibia was stabilized by external fixator either combined or in single one patients had good 5 fair and 12 poor results