case_images: PMC4904146_01
case_images: Post-traumatic wound before the treatment
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case_images: F1
case_images: The initial depth of the wound was 4 cm and width was 3.6 cm (Figure 1).
case_images: Radiographic examination: multi-fragmented fracture of distal end of tibia and also a fracture of fibula, well as numerous radiopaque foreign bodies
case_images: wjps-5-080-g002.jpg
case_images: PMC4904146_01_wjps-5-080-g002.jpg
case_images: F2
case_images: The radiographic examination showed a multi-fragmented fracture of distal end of tibia and also a fracture of fibula, well as numerous radiopaque foreign bodies (Figure 2). 
case_images: Intra-operatory view. PRP gel application
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case_images: PMC4904146_01_wjps-5-080-g003.jpg
case_images: F3
case_images: PRP was obtained. PRP obtained is a high quality PRP with the highest platelet recovery and highest growth factors contents as described before., PRP activated with autologous thrombin may be injected intra-lesional and perilesional or forming platelet gel and used topically (Figure 3).
case_images: Intra-operatory view. Application of HA on PRP
case_images: wjps-5-080-g004.jpg
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case_images: F4
case_images: In combination with the platelet gel, the wound was covered with a three-dimensional polymerized hyaluronic acid medicated biologic dressing (Figure 4).
case_images: Postoperative view after 45 days: A: anterior view, B: antero-medial view
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case_images: F5
case_images: Forty-five days after the surgical treatment there was full recovery (Figure 5).
case_images: Postoperative view after 8 weeks
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case_images: F6
case_images: The postoperative course was uneventful and the early postoperative result was very satisfying for both the surgeon and the patient (Figure 6).