External Fixator or Antibiotic-coated Plate in Severe Open Long Bone Fractures

Inclusion Criteria: * Age ≥ 18yrs, * Gustilo-Anderson IIIA and IIIB open fractures, * involvement of any long bone fractures that can be fixed with either plate or uniplanar external fixation, * wound can be closed primarily, with skin graft or flap, or can heal secondarily Exclusion Criteria: * Patients with traumatic brain injury, * spinal cord injury, * severe burns, * 1 long bone fractures, * refusal to consent, * history of allergies to ceftriaxone or sulbactam, * fractures associated with vascular injury * and non-compliance with follow-up.