Surgical trends in the treatment of type IIIB Gustilo fractures: a systematic review

Introduction: The objective of this review was to identify the most commonly used methods of coverage in Gustilo type IIIB fractures, as well as those that offer the greatest benefits with the fewest risks and complications. Methods: A systematic descriptive literature review was conducted, following the PRISMA statement guidelines and adopting the scientific quality recommendations necessary to ensure the adequate systematization of the information. The search was performed in the PubMed, ProQuest, ResearchGate, and Web of Science databases, selected for their relevance and accessibility. Results: After the selection, analysis, and refinement of the records obtained, a total of 20 studies were included in the review. Conclusions: In the management of Gustilo type IIIB fractures, the choice of coverage technique is a decisive factor in preventing complications and promoting optimal patient recovery. The debate continues regarding the use of free or locoregional flaps, given that both options have comparable results in terms of efficacy, survival rate, and complications.