Publication Name	World Journal of Orthopedics
Manuscript ID	64133
Country	United Kingdom

Received	2021-02-09 15:22
Peer-Review Started	2021-02-09 15:23
To Make the First Decision
Return for Revision	2021-05-03 04:32
Revised	2021-05-16 17:05
Second Decision	2021-06-03 10:23
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2021-06-03 11:59
Articles in Press	2021-06-03 11:59
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2021-07-15 01:05
Publish the Manuscript Online	2021-07-15 14:32

ISSN	2218-5836 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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Category	Orthopedics
Manuscript Type	Retrospective Study
Article Title	Strategies and outcomes in severe open tibial shaft fractures at a major trauma center: A large retrospective case-series
Manuscript Source	Unsolicited Manuscript
All Author List	Kavi H Patel, Karl Logan and Matija Krkovic
Funding Agency and Grant Number
Corresponding Author	Kavi H Patel, MBBS, MSc, Doctor, Department of Trauma & Orthopaedics, Cambridge University Hospitals NHS Trust, Hills Road, Cambridge CB2 0QQ, United Kingdom. drkavi84@gmail.com
Key Words	Tibia; Open fracture; Taylor spatial frame; Intramedullary nailing; Bone defect
Core Tip	Our aim was to provide an overview of the largest single-center experience in the literature, with minimum 1-year follow-up, of adult type 3 open tibial shaft fractures at Cambridge University Hospitals (a United Kingdom major trauma center). Meticulous and aggressive debridement of GA type 3 open tibia wounds by experienced orthopaedic and plastic surgeons is paramount. Grade 1 to 3A injuries can effectively be treated with reamed or unreamed intramedullary nailing. Grade 3B/C injuries are best treated by circular external fixators as they provide good if not superior outcomes to other limb salvage techniques and allow large bone defects to be addressed via distraction osteogenesis. In addition, Taylor spatial frame offers the advantages of postoperative adjustability.
Publish Date	2021-07-15 14:32
Citation	Patel KH, Logan K, Krkovic M. Strategies and outcomes in severe open tibial shaft fractures at a major trauma center: A large retrospective case-series. World J Orthop 2021; 12(7): 495-504
URL	https://www.wjgnet.com/2218-5836/full/v12/i7/495.htm
DOI	https://dx.doi.org/10.5312/wjo.v12.i7.495

Full Article (PDF)	WJO-12-495.pdf
Full Article (Word)	WJO-12-495.docx
Manuscript File	64133_Auto_Edited-JPY.docx
Answering Reviewers	64133-Answering reviewers.pdf
Audio Core Tip	64133-Audio core tip.m4a
Biostatistics Review Certificate	64133-Biostatistics statement.pdf
Conflict-of-Interest Disclosure Form	64133-Conflict-of-interest statement.pdf
Copyright License Agreement	64133-Copyright license agreement.pdf
Institutional Review Board Approval Form or Document	64133-Institutional review board statement.pdf
Peer-review Report	64133-Peer-review(s).pdf
Scientific Misconduct Check	64133-Bing-Ma YJ-1.jpg
Scientific Misconduct Check	64133-Bing-Fan JR-2.png
Scientific Misconduct Check	64133-Scientific misconduct check.pdf
Scientific Editor Work List	64133-Scientific editor work list.pdf