DOI: 10.36347/sjams.2019.v07i09.024

Pages: 3028-3034

Background: It is hopeful procedure for helpless patient when injury is so severe that amputation of a limb is going to be mandatory for many reasons even for life threatening conditions. It is also beneficial for the patients in the prevention of infection, bone necrosis and also for early mobilization. Success of muscle flap coverage in Gustilo type III B open fracture of tibia-fibula will establish it as an effective standard treatment in our country. So early referral as well as early stabilization of fracture according to future plan of flap coverage will come in practice. Hence this procedure will save many limbs as well as will reduce many disabilities. Objective: To assess the effectiveness of muscle flap (Gastrocnemius, soleus or combined) for the coverage of wound in open tibia-fibula fracture Gustilo- type IIIB. Methodology: This experimental surgical procedure was done on patients of Gustilo type- IIIB open fracture Tibia and fibula in Orthopedics and Traumatology department of Dhaka Medical College hospital and National Institute of Traumatology and Orthopedic Rehabilitation (NITOR). During the period of July 2006 to June 2008. This study was done on 20 patients. It was a Purposive sampling method following preset inclusion and exclusion criteria. Results: This prospective study on soft tissue coverage by Gastrocnemius and soleus flap in management of open Gustilo type IIIB fractures of upper Two third of tibia fibula was carried out at Department of Orthopedics and Traumatology, Dhaka Medical College and National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka during the period of July 2006 to June 2008. This study was done on 20 patients. Age incidence in this series ranged from 16 to 60 years with a mean age was 34.25 and32.65 years respectively.