“…In spite of this, too many patients with compound tibial injuries are still managed with conventional orthopedic procedures with an increased risk of complications (Asko-Seljavaara et al 1985, Byrd et al 1985, Caudle and Stem 1986, Godina 1986, prolonged hospitalization and unsuccessful rehabilitation (Newington and Sykes 1991). However, in our experience, referral to a plastic or orthopedic surgeon depending on whether the problem is related to soft or hard tissues is not optimal.…”