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Gustilo-Anderson type 3 open fractures remain a veritable orthopedic challenge, even for surgeons with greater experience, because of neurovascular damages, high。

Gustilo et al. demonstrated a 50% risk of osteomyelitis after such injuries, with amputation (early or late) a frequent outcome ( Gustilo et al. (1990) The management of open fractures. J Bone Joint Surg 72(2):299-304). This。

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