Comparison of Outcome of Early Versus Delayed Hemisoleus Flap Coverage of Open Wound Over the Middle One Third of Leg after Fracture of Tibia

  • Muhammad Usman Bakhtawar Amin Teaching and Trust Hospital, Multan
  • Muhammad Saad Faisal Sharif Medical City Hospital, Lahore
  • Muhammad Aslam Channa Department of Anatomy, Gambat Medial College Gambat/PAQSJIMS Gambat, District Khairpur Mir's.
  • Barira Bashir
Keywords: Hemisoleus flap, early reconstruction, delayed reconstruction


Objective: To compare the outcome of early versus delayed hemisoleus flap coverage of open wound over the middle one third of leg after fracture of tibia.

Methods and Material: This randomized controlled trial was conducted over a year in the Department of Plastic surgery, Nishtar Hospital, Multan including 240 patients with open tibial shaft fractures who had either early or delayed coverage. Both the groups were compared for outcome parameters (excellent, good, fair and poor) used by Haq et al, at six weeks after the procedure. Chi-square test was applied for test of significance. P-value < 0.05 was considered significant.

Results: In group A, excellent, good, fair and poor outcome were seen in 48 (40%), 45 (37.5%), 25 (20.8%) and 2 (1.7%) patients, respectively. In group B, excellent, good, fair and poor outcome were seen in 0 (0%), 60 (50%) patients, 18 (15%) and 42 (35%) patients, respectively .The results were statistically significant on comparison of the two groups (p <0.05).

Conclusions: Early coverage of open tibial shaft fracture results in higher frequency of excellent and good outcome as compared to delayed coverage.