What does this research mean for the field?

A hybrid fixation technique combining external fixation with limited internal fixation is effective for severe open fractures involving both diaphyseal and intra-articular components of the upper extremity, yielding satisfactory long-term clinical and radiological outcomes. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This report aims to illustrate the management of complex Gustilo–Anderson Grade 3B open fractures and their long-term outcomes.

June 26, 2026Journal of trauma and orthopaedic surgery.Open Access

External fixation with limited internal fixation for Gustilo–Anderson Grade 3B open humerus and intra-articular elbow fractures: A case report with a 10-year follow-up

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Authors

SPSampat Dumbre Patil AVAmeya H. Velankar GWGurunath S. Wachche

Discussion

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Overview

Case report demonstrates effective hybrid fixation technique for complex upper extremity fractures, suggesting favorable long-term healing outcomes.

Key Points

This report aims to illustrate the management of complex Gustilo–Anderson Grade 3B open fractures and their long-term outcomes.
Case report detailing a 21-year-old male with a Grade 3B open fracture of the humerus and intra-articular elbow fractures.
Surgical intervention included thorough debridement, external fixation, and limited internal fixation with K-wires and screws.
Follow-up assessments included radiological analysis and functionality evaluation over a 10-year period.
Radiological union was confirmed at 12 weeks post-surgery.
At 10 years follow-up, the patient exhibited stable, painless elbow function with near-normal range of motion.
The approach led to effective wound management and reduced infection risk, allowing for early mobilization.

Cite This Study

Patil et al. (2026) studied this question.

synapsesocial.com/papers/6a3e16cd030ad1a9b30907be https://doi.org/10.4103/jtos.jtos_22_25

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June 26, 2026Journal of trauma and orthopaedic surgery.Open Access

External fixation with limited internal fixation for Gustilo–Anderson Grade 3B open humerus and intra-articular elbow fractures: A case report with a 10-year follow-up

View Full Paper

Ask AI

Bookmark

Authors

SPSampat Dumbre Patil AVAmeya H. Velankar GWGurunath S. Wachche

Discussion

Member takes

Overview

Case report demonstrates effective hybrid fixation technique for complex upper extremity fractures, suggesting favorable long-term healing outcomes.

Key Points

This report aims to illustrate the management of complex Gustilo–Anderson Grade 3B open fractures and their long-term outcomes.
Case report detailing a 21-year-old male with a Grade 3B open fracture of the humerus and intra-articular elbow fractures.
Surgical intervention included thorough debridement, external fixation, and limited internal fixation with K-wires and screws.
Follow-up assessments included radiological analysis and functionality evaluation over a 10-year period.
Radiological union was confirmed at 12 weeks post-surgery.
At 10 years follow-up, the patient exhibited stable, painless elbow function with near-normal range of motion.
The approach led to effective wound management and reduced infection risk, allowing for early mobilization.

Cite This Study

Patil et al. (2026) studied this question.

synapsesocial.com/papers/6a3e16cd030ad1a9b30907be https://doi.org/10.4103/jtos.jtos_22_25

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