Tratamiento de las fracturas abiertas de tibia con pérdida de tejido óseo

a bibliographical revision and updating on etiology, current available classifications and methods of surgical treatments of the losses of osseous tissues was performed, as consequences of traumatic lesions in the tibia open fractures. with the objective of to summarize and to facilitate the study from this troublesome topic to residents and especialits of orthopedics and traumatology. in the classification it was deepened in the approaches of the association for the orthopedic trauma. with the forms and methods of treatments, they clear up the advantages and disadvantages of each method among those that are: the intramedullary fixation, the use of ao plates, external fixators and free or vascularized grafts of the fibula. when concluding we propose an algorithm for the management of this complication in relation to the magnitude of the osseous bigger or smaller defects of six centimeters and the conclusions of the work are emitted.