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Editor's Notes

1. We know that the poor blood supply is a high risk for infection, so we should be careful for soft-tissue management. Like this comminuted fracture, try to choice minimal invasive method .
2. For the patient with high risk of infection, we should choice adequate treatment. This is a open intercondylar fracture of femer, Gustilo Ⅱ, first, we did debridement and closed the wound, fixed the fracture with external fixator , after two weeks, when the wound was safe, we did ORIF with bone graft, and have a good result.
3. This young man had a open femur fracture, initially did open reduction and fixed with two plates, unfortunately infection occurred , an extended debridement was performed, removed all dead bone and implants, open the wound.
4. When the infection healed , refixation with bone graft, finally united with good function.
5. sometimes, if the implants are not lailure, we can maintain the fixation. Look at this intercondylar fracture of humerus , after operation, the skin necrosed and infected, we did not remove the implants, only made debridement and bone graft, finally , the infection was cured.
6. This tibia and fibular fracture was infected 2 months after operation, we did debridement, bone graft and open the wound.
7. Changed the wound two times a week, 6 months later, the bone and wound united, and the function was good.