The Use of Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in The Management of Open Gustilo Anderson IIIB Fractures. Review of 80 Patients

Abstract Background Management of open fractures is challenging and requires a multidisciplinary team approach. This study aims to evaluate outcomes of using Adjuvant Local Antibiotic Hydroxyapatite Bio-Composite in Management of Open Gustilo-Anderson IIIB Fractures. Methods and Results Retrospective data analysis of 80 patients who were managed with single-stage “Fix and Flap” along with intra-operative Adjuvant Local Antibiotic Bio-Composite. Successful fracture union reported in 96.1% of patients. 4 patients underwent below-knee amputation and one had deep infection. Conclusion High union rate can be achieved in Open Gustilo-Anderson IIIB fractures by following a meticulous technique using local adjunctive antibiotics with combined ortho-plastic approach.