Comprehensive assessment of severity damages with open segmental tibia fractures

OSTF are characterized not only by the severity of inflicted trauma but also by the significant spread of destruction in the area of direct impact. The damage is also revealed far beyond the area of direct impact. Borders of the lesion are difficult to define. One of the most characteristic features of existing classifications on open fractures is that they do not adequately reflect the gravity and complexity of segmental fractures in long bones. The treatment of 77 patients suffering from open segmental tibia fractures is analyzed. A variant of the complex classification instrumental in assessment of OSTF characteristic features is developed. The proposed method helps to determine severity of the trauma in OSTF, including radiological characteristics of the bone injury.