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Articles Published Processes
3/10/2026 6:59:26 AM | Browse: 0 | Download: 0
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Received |
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2025-11-11 13:49 |
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Peer-Review Started |
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2025-11-12 00:22 |
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First Decision by Editorial Office Director |
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2025-12-02 07:59 |
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Return for Revision |
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2025-12-03 14:21 |
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Revised |
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2025-12-04 14:52 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2025-12-23 02:35 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2025-12-23 07:50 |
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Articles in Press |
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2025-12-23 07:50 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-02-28 06:54 |
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Publish the Manuscript Online |
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2026-03-10 06:59 |
| ISSN |
2308-3840 (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: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Orthopedics |
| Manuscript Type |
Systematic Reviews |
| Article Title |
Early orthoplastic soft-tissue coverage in open tibial fractures reduces infection, nonunion, and amputation
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Ebrahem Hesham Hashem Mohamed and Shabbir Ahmad |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Shabbir Ahmad, Academic Fellow, Department of General Surgery, Nangarhar University, Kabul-Jalalabad Highway, Daronta (Darunta), Jalalabad 260101, Nangarhār, Afghanistan. shabbirahmadnoir@gmail.com |
| Key Words |
Open tibial fracture; Soft-tissue coverage; Early coverage; Delayed coverage; Orthoplastic surgery; Flap reconstruction; Infection; Nonunion; Limb salvage; Gustilo-Anderson classification |
| Core Tip |
Early orthoplastic management of open tibial fractures remains crucial for reducing complications and preserving limb function. This systematic review synthesizes current evidence comparing early vs delayed soft-tissue coverage in Gustilo-Anderson type IIIB and IIIC fractures. Early flap coverage, ideally within the first week after fixation, markedly decreases deep infection and nonunion rates, improves union and limb salvage, and does not increase flap failure risk. The findings reinforce the importance of coordinated orthoplastic collaboration and timely multidisciplinary care in achieving optimal outcomes for complex lower-limb trauma. |
| Publish Date |
2026-03-10 06:59 |
| Citation |
Mohamed EHH, Ahmad S. Early orthoplastic soft-tissue coverage in open tibial fractures reduces infection, nonunion, and amputation. World J Meta-Anal 2026; 14(1): 116322 |
| URL |
https://www.wjgnet.com/2308-3840/full/v14/i1/116322.htm |
| DOI |
https://dx.doi.org/10.13105/wjma.v14.i1.116322 |
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