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Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty five open fractures of long bones: retrospective and prospective analyses. .J Bone Joint Surg Am58::453. ,1976. .773941)| false
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Franklin JL, Johnson KD, Hansen ST Jr: Immediate internal fixation of open ankle fractures: report of thirty-eight cases treated with a standard protocol. .J Bone Joint Surg Am66::1349. ,1984. .6438107)| false
In this prospective study, 30 patients (28 men and 2 women) with open ankle fractures were treated with early debridement and immediate stable internal fixation after anatomical reduction to achieve better functional results after early mobilization. The procedure was performed an average of 8 hours (range, 6–15 hours) after injury. According to the classification system of Gustilo and Anderson, 11 fractures (37%) were grade I, 12 (40%) were grade II, 5 (17%) were grade IIIA, and 2 (7%) were grade IIIB. Six complications occurred: four patients had superficial skin necrosis and two had loss of reduction, resulting in residual ankle stiffness. Twenty patients had excellent results, eight had good results, and two had fair results according to the modified criteria of Ketenjian and Shelton. We found that immediate debridement, anatomical reduction, and internal fixation of open ankle fractures leads to better functional results, especially in grade I and grade II injuries. (J Am Podiatr Med Assoc 96(2): 120–124, 2006)
Corresponding author: Deepak Joshi, MS, Central Institute of Orthopedics, Safdarjang Hospital, D-6, 6007/5, Vasant Kunj, New Delhi, India.