Primary open reduction and internal fixation of open XXXX .

@entity1 @entity177 @entity1230 @entity174
Our experience with primary open reduction with rigid internal fixation of 50 open @entity174 is presented. Twenty-seven @entity1 had associated major @entity1230 . Twenty @entity174 were articular and 26 involved 3rd-degree wounds. The infection rate of 4%. A system of staged sequential debridement and wound management is presented. The authors believe this system has contributed to the low infection rate. No secondary amputations occurred. Eighty-two per cent of the @entity1 had good functional results using Charnley's criteria. Fatal post-traumatic @entity177 did not occur. The authors feel that early definitive @entity174 care employing rigid fixation which avoids casts, and allows improved wound management and early mobilization of the @entity1230 @entity1 , has decreased the cardiopulmonary and metabolic consequences commonly associated with @entity1230 @entity1 care.
