Author’s reply

Abstract

Sir,We appreciate the concerns raised by Nema S and Vyas GS 1 on our article "soft tissue coverage in open fractures of tibia." 2 Further we want to clarify the points raised. This article primarily addresses management of open injuries of tibia in tertiary health centers of India, where facilities of advanced plastic and reconstructive surgery do not exist. We have quoted the references, 2 which clearly state that when there are alternative loco regional flaps, the role of free flaps is questionable. The need of a team of expert surgeons, the infrastructure, and the logistics will always be important deciding factors in the decision making in tibial open fractures. It is also needless to stress that obtaining consistent good results in free flaps for lower limb reconstruction involves steep learning curve, even in specialized micro vascular centers. 1. We share the same views as Bhatti et al., 3 who have

Traffic Accidents in Children and Adolescents: A Complex Orthopedic and Medico-Legal Approach

“…Intra-articular fracture expansion has been linked with a lower likelihood of closed reduction therapy solely; therefore, open intervention is frequently necessary. Intra-articular fractures have a greater probability to require ORIF [81]. In such circumstances, approximately one-third of fractures among children over the age of five are going to need open therapy fixation, whilst over fifty percent of fractures in children under the age of five are going to need the same management.…”