THE TREATMENT OUTCOMES OF CHILDREN WITHGRADE II AND III OPEN FRACTURES OF THE LONG BONE

BACKGROUND: We evaluated the treatment results in thirty-two children who had grade 2 and 3 open fractures according to
classification ofGustilo-Anderson.
METHODS: There were 21 (%65) male and 11 female (OJ035) patient and the mean age was 9 years (range, 4-14 years). There were 18 (%56) grade-2, 7 (%22) grade-3A, 5 (% 15) grade-3B, and 2 (%6) grade-3C open fracture. All fractures were irrigated and debrided, and thenfixed with externalfixators. The average duration of follow-up was 11 months (range, 6-28 month).
RESULTS: All fractures healed. Inadequate recovering was detected in four patients who had nerve injury, in addition the joint limiting contracture occured on six patients.
CONCLUSION: Fracture union without segmental bone loss is not a significant problem in open fractures in children, and that joint contractu res, compartment sydrome and nerve injuries negatively affect the late outcomes.