Membrane Technique Research Articles

Extraction of acid orange 7 from water by emulsion liquid membrane using Tri-dodecyl-amine as extractant

The main objective of this study was to investigate the feasibility of extracting Acid Orange 7 (AO7), a complex reactive dye, from aqueous solutions using a stabilized emulsion liquid membrane (ELM) technique. The ELM formulation comprised tri-dodecylamine (TDA) as the extracting agent, kerosene as the diluting medium, and SPAN 80 as the surfactant. We systematically examined various experimental variables that affect the extraction of AO7. These variables included the concentrations of the extractant and surfactant, internal phase concentrations, the ratio of the membrane phase to the internal phase, the choice of diluting medium and its grade, stirring speed, treatment ratio, and the initial concentration of AO7. Furthermore, we investigated the impact of sodium chloride concentration in the external phase. Our research findings indicate that the optimal conditions for AO7 extraction using the ELM method were as follows: a TDA concentration of 3% (w/w), a SPAN 80 concentration of 9% (w/w), an oil-to-aqueous phase ratio (O/A) of 1:1, kerosene as the diluting medium, H2SO4 as the internal phase, a stirring speed of 200 rpm, a treatment ratio of 1:10, and an initial AO7 concentration of 10 mg/L. Under these precise conditions, an exceptional extraction efficiency of 98.49% was achieved in just 15 min. Under these carefully controlled conditions, an exceptional extraction efficiency of 98.49% was achieved in just 15 min. Consequently, the emulsified liquid membrane extraction process demonstrates significant potential as an advanced separation technique for removing hazardous dyes, particularly in dilute solutions.

Electrocoagulation as a Possible Treatment for Wastewater Contaminated with Microplastics - A Review

Microplastics (MPs) have arisen as an omnipresent pollutant that damages the aquatic ecosystem, raising serious concerns. It has become a massive challenge since MPs have the ability to biomagnify and thereby harm human health, biodiversity, aquatic species, and the environment. Therefore, innovative technologies are needed to efficiently remove MPs. Membrane technologies can be quite effective in the removal of MPs. Furthermore, hybrid membrane techniques such as advanced oxidation processes (AOPs), membrane fouling, electrochemical processes, and adsorption processes can be used to improve efficiency. Electrocoagulation is considered an effective wastewater treatment technique for MPs removal, with the advantages of low cost, independence of chemicals, and ease of operation. The main aim of this work is to demonstrate the potential of electrocoagulation to remove MPs from wastewater and provide an overview of the sources and toxicity of MPs found in wastewater. This study also evaluates various physical, chemical, and biological treatment methods for removing MPs from wastewater.

Use of F18 bioglass putty for induced membrane technique in segmental bone defect of the radius in rabbits.

To evaluate the inductive capacity of F18 bioglass putty on the induced membrane technique in a segmental bone defect of the rabbit's radius. Ten female Norfolk at 24 months of age were used. The animals were randomly separated based on postoperative time points: five rabbits at 21 and four at 42 days. A 1-cm segmental bone defect was created in both radii. The bone defects were filled with an F18 bioglass putty. Immediate postoperative radiographic examination revealed the biomaterial occupying the segmental bone defect as a well-defined radiopaque structure with a density close to bone tissue. At 21 and 42 days after surgery, a reduction in radiopacity and volume of the biomaterial was observed, with particle dispersion in the bone defect region. Histologically, the induced membrane was verified in all animals, predominantly composed of fibrocollagenous tissue. In addition, chondroid and osteoid matrices undergoing regeneration, a densely vascularized tissue, and a foreign body type reaction composed of macrophages and multinucleated giant cells were seen. the F18 bioglass putty caused a foreign body-type inflammatory response with the development of an induced membrane without expansion capacity to perform the second stage of the Masquelet technique.

An energy efficient hybrid membrane technique for the removal of toxic metals from aquatic environment

Electrodeionization (EDI), integrates electrodialysis (ED) and ion exchange (IE) technology. The purpose of this study is to utilize an EDI unit for eliminating copper from wastewater. This process was demonstrated using a three-compartment system, comprising a central compartment filled with a cation exchange resin (CER), separated from the anodic and cathodic chambers by two cationic exchange membranes (CEM), with the anode and cathode placed in the anodic and cathodic chambers, respectively. Purolite C 160 was used to showcase how operational variables, such as initial concentration, contact duration, resin dosage, and temperature, were optimized for the most effective copper removal during batch mode operation. The optimized conditions were an initial concentration of 100 ppm, a Purolite C dose of 0.5 g/L, a contact time of 1 h, and a pH of 8. At an initial copper concentration of 100 ppm and a supply voltage in the range of 10 to 25 V, the highest copper removal achieved was close to 99.98 per cent. For this study, copper was eliminated in the described experiments up to 99.98%, with energy consumption in the EDI unit varying between 3.87 and 25.29 kWh per kg of removed copper.

Ion Exchange Resins and their Applications in Water Treatment and Pollutants Removal from Environment: A Review

Ion exchange resin is a porous polymer with a high molecular weight. It has a few groups that can be exchanged into ions in the solution it comes into contact with. Ion exchange resins are available in different types and are widely employed in wastewater treatment. It removes unwanted ions from waste water, because it can exchange unwanted ions with its functional group. Until now, ions exchange mainly employed for the removal of different compounds from water, including dissolved organic matter and dissolved organic carbon, nitrate, copper, N-nitrosodimethylamine, fluoride, Nickel, boron, sulfamethazine, trihalomethanes (THMs) etc. In industry, various techniques are available for condensate water treatment, including flotation, membrane, sedimentation, coagulation, precipitation, chemical adsorption, filtration, catalytic oxidation, and electrochemical techniques. But existing techniques or processes are not feasible for water treatment in a confined place due to few advantages, including less efficiency in purification, being expensive, maintenance challenges, and high energy requirements. In contrast, ion exchange resins benefit from high separation selectivity, simple handling, and reusable resin. Few resins are too much costly, but being they are reusable, it makes them sustainable and cost-effective. Significant research is being conducted worldwide to uncover the potential effects of ion exchange resins. This review discussed their use in environmental cleanup, water treatment, and operational feasibility with multiple factors.

Extraction/transportation of Co2+ metal ions with bis(2-ethylhexyl) phosphate dissolved in kerosene using a multidropped liquid membrane technique.

The transport properties of Co2+ ions from the aqueous donor phase to aqueous acceptor phase with the recently developed multidroplet liquid membrane (MDLM) extraction system were studied. This system serves as a continuous process for the transportation of ions and requires fewer reagents for starting and conducting the procedure. Moreover, the procedure results in fewer waste chemicals and mixtures in comparison to traditional extraction methods. During extraction, bis(2-ethylhexyl) phosphate (D2EHPA) was used as a carrier material and 5% potassium thiocyanate (KSCN) solution was used to obtain a colored complex for UV-Vis detection. By means of several experiments, the optimum D2EHPA concentration, pH range for both donor and acceptor phases, and temperature range effect on transport kinetics were investigated. In the extraction of cobalt ions with the MDLM system, the activation energy was calculated as Ea = 13.80 kcal mol-1, and it was found that the extraction was chemically controlled since it was greater than 10 kcal mol-1.

(Digital Presentation) New Magnetron Sputtering Fabrication Process for Ba0.5Sr0.5Co0.8Fe0.2O3- δ Miec Thin Film Membranes on Porous Support for Oxygen Permeation Applications

Mixed ionic electronic conductor (MIEC) membranes provide a great route for introducing oxygen to combustion and reforming processes of new fuels such as green ammonia. Ba0.5Sr0.5Co0.8Fe0.2O3- δ (BSCF) is known to be one of the most widely utilized perovskite material applied as oxygen transport membrane, as it possesses elevated oxygen permeability up to 7 ml(STP)·min-1·cm-2 at a temperature range of 850-900°C. Application of thin MIEC films of thicknesses of around 500 nm – 5 µm allow for reduction of Ohmic resistance for transport processes and sufficient oxygen permeation at lower temperatures as compared to bulk membranes, which is of great advantage with regard to materials stability and quality of sealing. However, fabrication techniques of thin MIEC membranes staunchly influence their phase purity. Crystallinity, microstructure and correlated oxygen diffusion properties as well as stability of membrane-substrate interfaces. Physical vapour deposition (PVD) such as magnetron sputtering (MS) is successfully applied to produce a dense and pinhole-free membrane with thicknesses ranging from 100 nm nanometer to a few micrometers. Challenges due to large size porosity of the ceramic substrate were addressed by tuning of the substrate porosity, ensuring formation of a continues layer and stability of the thin membranes. In this work, we report on the influence of the MS process parameters, as well as subsequent annealing techniques of both thermal annealing (TA) and line beam Laser annealing (LA) on the microstructure of a fabricated asymmetric membrane (AsM) consisting of BSCF thin membrane on a BSCF support wit tunable pore sizes. Oxygen permeability of the AsM was investigated at high temperatures (850-900 °C). For a substrate pore size of around 3 µm, BSCF membrane thicknesses of 1 to 5 µm could be applied for fabrication of AsM, resulting in a 2-fold increase of oxygen permeability ~5 ml.min-1.cm-2 at a temperature of 900 °C as compared to a bulk BSCF support of ~2 mm thickness, whereas comparable oxygen permeation is already reached at a temperature of 700°C by the thin membrane. Contrariwise, the one with high porosity (~10 µm) required the deposition of thicker layers, which obstruct the oxygen diffusion and inhibited the permeation. The results have optimised sputtering process parameters, supports porosity and TA&/SLA parameters, are key factors for producing thin film membrane exhibiting high oxygen flux and good stability.

Xylitol Production by Debaryomyces hansenii in Extracted Olive Pomace Dilute-Acid Hydrolysate

The extracted olive pomace (EOP) is an industrial lignocellulosic by-product of olive pomace oil extraction, currently mainly used for energy production through combustion. In this work, the hemicellulosic fraction of EOP was selectively hydrolyzed by diluted acid hydrolysis to obtain pentose-rich hydrolysates that can potentially be upgraded by Debaryomyces hansenii, targeting xylitol production. The monosaccharides and degradation by-products released along the pre-treatment were quantified and several detoxification methods for the removal of potentially toxic compounds were evaluated, including pH adjustment to 5.5, the use of anion-exchange resins, adsorption into activated charcoal, concentration by evaporation, and membrane techniques, i.e., nanofiltration. The latter approach was shown to be the best method allowing the full removal of furfural, 41% of 5-hydroxymethylfurfural, 54% of acetic acid, and 67% of the phenolic compounds present in the hydrolysate. The effects of the supplementation of both non-detoxified and detoxified hydrolysates were also assessed. The non-detoxified hydrolysate, under aerobic conditions, supported the yeast growth and xylitol production at low levels. Supplementation with the low-cost corn steep liquor of the nanofiltration detoxified hydrolysate showed a higher xylitol yield (0.57 g/g) compared to the non-detoxified hydrolysate. The highest xylitol productivity was found in hydrolysate detoxified with anionic resins (0.30 g/L·h), which was 80% higher than in the non-detoxified culture medium. Overall, the results showed that EOP dilute acid hydrolysates can efficiently be used for xylitol production by D. hansenii if detoxification, and supplementation, even with low-cost supplements, are performed.

Membrane and desublimation integrated hydrogen separation followed by liquefaction process: An energy, exergy, and economic evaluation

H2 has gained global attention owing to its clean energy characteristics. As an energy vector, long-term storage and transportation of H2 in liquid form is essential which requires effective pretreatment. Standalone technologies, such as pressure swing adsorption, membrane, and cryogenic, cannot produce highly pure H2 with high recovery in an energy-efficient manner. The integration of technologies is a promising alternative to overcome these limitations. In this regard, membrane and cryogenic (desublimation) techniques are integrated to separate H2 with high purity and recovery. Purified H2 is liquefied to produce 100% saturated liquid H2 (LH2). The proposed process is designed in Aspen Hysys v11 and evaluated with respect to energy, exergy, and economic considerations. The results have shown that the proposed process resulted in H2 separation with 99.99% purity and 95.87% recovery. The total net energy consumption of the proposed integrated process was 11.53 kWh/kg. Exergy analysis revealed that the liquefaction section had the highest specific exergy destruction (∼92%). Moreover, the detailed economic calculations showed that the total annualized process cost was 671.6 m$/y. In this study, the potential of membrane–cryogenic integration with LH2 production is evaluated and shown to be fundamental in the development of a sustainable H2 economy.

HTA177 The Safety and Effectiveness of Root Membrane Technique (Socket Shield Technique)

HTA177 The Safety and Effectiveness of Root Membrane Technique (Socket Shield Technique)

Masquelet Technique: Visualization of Cement Spacer Utilizing Methylene Blue

Masquelet Technique: Visualization of Cement Spacer Utilizing Methylene Blue

Combining non-vascularized fibula and cancellous graft in the masquelet technique: A promising approach to distal femur compound fracture management with large defects

IntroductionCompound fractures of the distal femur with large defects pose a significant challenge in management, with several options available, including external fixators, bone grafting, the Masquelet-induced membrane technique, and free vascularized fibular grafts. The Masquelet-induced membrane technique involves placing a cement spacer in the defect to create a biologically active membrane. In the second stage, the gold standard for filling the defect is an autologous cancellous bone graft of 1–2 mm in size. This study aims to examine the effects of using a non-vascularized fibula as a support combined with a cancellous graft in the Masquelet technique for treating compound fractures of the distal femur. MethodsThe study was conducted between December 2017 and December 2020 and included 11 patients who underwent the Masquelet technique. The procedure involved a lateral locked plate and an antibiotic-impregnated bone cement spacer, followed by a 20–30 mm longer ipsilateral fibula used as a strut graft. The remaining area was filled with cancellous bone from the iliac crest. The size of the defect, Time to the bony union, the average range of motion of the knee, and any complications are analysed. The final evaluation was done at 18 months using the Lower Extremity functional scale to assess functional outcomes. ResultsThe study included 11 patients (8 male and 3 female) with a mean age of 45.8 years. The average time to bony union was 6.6 months, and the average range of motion of the knee was 2.2° to 93.3 ° (0–110 °). No complications such as infection, non-union, or implant failure were observed. ConclusionThe Masquelet Technique combined with a fibular strut graft is a feasible solution for complex distal femur fractures with bone loss. The non-vascularized fibula graft provides both structural support and reduces the amount of cancellous bone graft needed, which results in earlier weight bearing and improved functional outcomes.

Comparative bone healing with induced membrane technique (IMT) versus empty defects in septic and aseptic conditions in a novel rabbit humerus model

BackgroundLong bone defects resulting from primary trauma or secondary to debridement of fracture-related infection (FRI) remain a major clinical challenge. One approach often used is the induced membrane technique (IMT). The effectiveness of the IMT in infected versus non-infected settings remains to be definitively established. In this study we present a new rabbit humerus model and compare the IMT approach between animals with prior infection and non-infected equivalents.MethodsA 5 mm defect was created in the humerus of New Zealand White rabbits (n = 53) and fixed with a 2.5 mm stainless steel plate. In the non-infected groups, the defect was either left empty (n = 6) or treated using the IMT procedure (PMMA spacer for 3 weeks, n = 6). Additionally, both approaches were applied in animals that were inoculated with Staphylococcus aureus 4 weeks prior to defect creation (n = 5 and n = 6, respectively). At the first and second revision surgeries, infected and necrotic tissues were debrided and processed for bacteriological quantification. In the IMT groups, the PMMA spacer was removed 3 weeks post implantation and replaced with a beta-tricalcium phosphate scaffold and bone healing observed for a further 10 weeks. Infected groups also received systemic antibiotic therapy. The differences in bone healing between the groups were evaluated radiographically using a modification of the radiographic union score for tibial fractures (RUST) and by semiquantitative histopathology on Giemsa-Eosin-stained sections.ResultsThe presence of S. aureus infection at revision surgery was required for inclusion to the second stage. At the second revision surgery all collected samples were culture negative confirming successful treatment. In the empty defect group, bone healing was increased in the previously infected animals compared with non-infected controls as revealed by radiography with significantly higher RUST values at 6 weeks (p = 0.0281) and at the end of the study (p = 0.0411) and by histopathology with increased cortical bridging (80% and 100% in cis and trans cortical bridging in infected animals compared to 17% and 67% in the non-infected animals). With the IMT approach, both infected and non-infected animals had positive healing assessments.ConclusionWe successfully developed an in vivo model of bone defect healing with IMT with and without infection. Bone defects can heal after an infection with even better outcomes compared to the non-infected setting, although in both cases, the IMT achieved better healing.

Asymmetric Nanoporous Alumina Membranes for Nanofluidic Osmotic Energy Conversion.

The potential of harnessing osmotic energy from the interaction between seawater and river water has been recognized as a promising, eco-friendly, renewable, and sustainable source of power. The reverse electrodialysis (RED) technology has gained significant interest for its ability to generate electricity by combining concentrated and diluted streams with different levels of salinity. Nanofluidic membranes with tailored ion transport dynamics enable efficient harvesting of renewable osmotic energy. In this regard, anodic aluminum oxide (AAO) membranes with abundant nanochannels provide a cost-effective nanofluidic platform to obtain structures with a high density of ordered pores. AAO can be utilized in constructing asymmetric composite membranes with enhanced ion flux and selectivity to improve output power generation. In this review, we first present the fundamental structure and properties of AAO, followed by summarizing the fabrication techniques for asymmetric membranes using AAO and other nanostructured materials. Subsequently, we discuss the materials employed in constructing asymmetric structures incorporating AAO while emphasizing how material selection and design can resist and promote efficient energy conversion. Finally, we provide an outlook on future applications and address the challenges that need to be overcome for successful osmotic energy conversion.

Induced membrane technique versus one-stage autografting in management of atrophic nonunion of long bone in the lower limb: clinical and health burden outcomes

ObjectiveIn this study, we aimed to compare the outcomes of the two-stage induced membrane technique (IMT) and one-stage autografting in the treatment of aseptic atrophic nonunion in lower limb long bones.MethodsFrom January 2014 to January 2022, we reviewed all surgically treated long bone nonunion patients, including patients aged 18 years or older with atrophic nonunion, who were either treated with the two-stage induced membrane technique (IMT) or one-stage autografting. Outcome parameters interns of clinical, quality of life and healthcare burden were recorded and retrospectively analysed between the two treatment populations. The follow-up time was at least 1 year.ResultsIn total, 103 patients who met the criteria for aseptic atrophic nonunion were enrolled. Among them, 41 (39.8%) patients were treated with two-stage IMT, and 62 (60.2%) patients were treated with one-stage autologous bone grafting. The follow-up time was 12 to 68 months, with an average of 28.4 months. The bone healing rate was comparable in both groups (IMT: 92.7% vs. one-stage grafting: 91.9%, P = 0.089) at 12 months post-operation, and the bone healing Lane–Sandhu score was superior in the IMT group (mean: 8.68 vs. 7.81, P = 0.002). Meanwhile, the SF-12 scores of subjective physical component score (PCS) (mean: 21.36 vs. 49.64, P < 0.01) and mental health component score (MCS) (mean: 24.85 vs. 46.14, P < 0.01) significantly increased in the IMT group, as well as in the one-stage grafting group, and no statistically significant difference was found within groups. However, the total hospital stays (median: 8 days vs. 14 days, P < 0.01) and direct medical healthcare costs (median: ¥30,432 vs. ¥56,327, P < 0.05) were greater in the IMT group, while the complications (nonunion 8, infection 3, material failure 2, and donor site pain 6) were not significantly different between the two groups (17.1% vs. 19.4, P = 0.770).ConclusionThe data indicate that two-stage method of IMT serves as an alternative method in treating atrophic nonunion; however, it may not be a preferred option, in comprehensive considering patient clinical outcomes and healthcare burden. More evidence-based research is needed to further guide clinical decision-making.

A Comprehensive Review of Performance of Polyacrylonitrile-Based Membranes for Forward Osmosis Water Separation and Purification Process.

Polyacrylonitrile (PAN), with its unique chemical, electrical, mechanical, and thermal properties, has become a crucial acrylic polymer for the industry. This polymer has been widely used to fabricate ultrafiltration, nanofiltration, and reverse osmosis membranes for water treatment applications. However, it recently started to be used to fabricate thin-film composite (TFC) and fiber-based forward osmosis (FO) membranes at a lab scale. Phase inversion and electrospinning methods were the most utilized techniques to fabricate PAN-based FO membranes. The PAN substrate layer could function as a good support layer to create TFC and fiber membranes with excellent performance under FO process conditions by selecting the proper modification techniques. The various modification techniques used to enhance PAN-based FO performance include interfacial polymerization, layer-by-layer assembly, simple coating, and incorporating nanofillers. Thus, the fabrication and modification techniques of PAN-based porous FO membranes have been highlighted in this work. Also, the performance of these FO membranes was investigated. Finally, perspectives and potential directions for further study on PAN-based FO membranes are presented in light of the developments in this area. This review is expected to aid the scientific community in creating novel effective porous FO polymeric membranes based on PAN polymer for various water and wastewater treatment applications.

Separation of tellurium and selenium ions from leach liquor of copper anode slime by hollow fiber renewal liquid membrane (HFRLM) technique

Separation of tellurium and selenium ions from leach liquor of copper anode slime by hollow fiber renewal liquid membrane (HFRLM) technique

Macular Hole Hydrodissection Technique with Human Amniotic Membrane for Repair of Large Macular Holes.

To describe a combined surgical technique utilizing the Macular Hole Hydrodissection (MHH) with human amniotic membrane (hAM) for repair of large macular holes. A step-by-step procedure and a surgical video using the combined MHH and hAM technique are presented. As the first step, the MHH separates the adhesions of the macular hole to the underlying retinal pigment epithelium (RPE) with a soft tipped cannula through proportional reflux followed by gentle passive aspiration. The hAM graft is marked to identify the non-sticky epithelial side and ensure that the stromal layer (sticky and non-shinny) is facing downward towards the RPE. The graft is then tucked into the space created with MHH between the macular hole edges and the RPE with closed forceps to decrease the likelihood of the graft from dislocating post-operatively. The MHH in combination with the hAM is a practical and effective technique for addressing challenging large macular holes.

Differences in macrophage expression in induced membranes by fixation method – Masquelet technique using a mouse's femur critical-sized bone defect model

IntroductionMasquelet's induced membrane technique (MIMT) is an emerging method for reconstructing critical-sized bone defects. However, an incomplete understanding of the underlying biological and physical processes hinders further optimization. This study investigated the effect of different bone-defect fixation methods on macrophage expression in an induced membrane using a novel mouse plate-fixed Masquelet model. MethodsMice were divided into Plate-fixed Masquelet (P-M), Intramedullary-fixed Masquelet (IM-M), Plate-fixed Control (P-C), and Back subfascial (B) groups. In the P-M and IM-M groups, a polymethylmethacrylate (PMMA) spacer was implanted into a 3 mm bone defect, while the defect in the P-C group remained unfilled. In group B, a spacer was inserted under the back fascia to examine membrane formation caused by a simple foreign body reaction. Tissues were collected at 1, 2, and 4 weeks postoperatively. Hematoxylin and eosin (H&E) staining and immunohistochemistry (CD68 and CD163: macrophage markers) were performed to assess macrophage expression within the membrane. qPCR was performed to measure the expression of CD68, CD163, and fibroblast growth factor 2 (FGF2). ResultsFour weeks post-operation, the P-M group presented with minimal callus growth, whereas the IM-M group exhibited vigorous growth. The P-M and IM-M groups displayed a tri-layered membrane structure, which is consistent with the results of previous studies. The IM-M group had significantly thicker membranes, whereas the P-M group exhibited higher expression levels of CD68, CD163, and FGF2. Group P-C showed no osteogenesis, whereas group B maintained a thin, cell-dense membrane structure. The P-M group consistently showed higher gene expression levels than the P-C and P-B groups. ConclusionThis study introduced a mouse plate fixation model for MIMT. The induced membranes could be adequately evaluated in this model. Induced membranes are formed by foreign body reactions to PMMA spacers; however, their properties are clearly different from those of simple foreign body reaction capsules and granulation tissues that infiltrate bone defects, suggesting that they are more complex tissues. The characteristics and expression of macrophages within these induced membranes varied according to the bone defect fixation method.

Delayed Reconstruction of the Perforator Pedicle Propeller Flap after the Induced Membrane Technique for Gustilo IIIB Open Distal Tibial Fracture.

This study aimed to evaluate the safety and efficacy of delayed reconstruction of the perforator pedicle propeller flap after the induced membrane technique in the treatment of Gustilo IIIB open distal tibial fracture, and to evaluate the clinical outcome and complications of two different perforator pedicle propeller flaps.Thirty-four patients with Gustilo IIIB open distal tibial fractures treated by the induced membrane technique and delayed reconstruction of two different perforator pedicle propeller flaps from May 2017 to March 2022 were retrospectively analyzed. Patients were divided into two groups according to the different kinds of perforator pedicle propeller flaps covered. The operation required two stages. The Radiographic Union Score for Tibial fractures (RUST) was used to evaluate the healing of the tibial bone defect. The American Orthopaedic Foot and Ankle Society (AOFAS) score was used to evaluate ankle function. The complications associated with the technique were recorded.The number of serial debridements, excluding those performed during emergency and final operations, was a mean of 2.28±0.83 in the PAPF group. The PAPF group had a mean bone defect length of 6.76 ± 0.69 cm, the median healing time of 13.11 ± 0.96 months, RUST score 12.68 ± 1.63, and AOFAS score of 84.12 ± 6.38. On the other hand the PTAPF group's mean bone defect length was 6.73 ± 0.95 cm, the median healing time 12.63 ± 1.46 months, RUST score 13.73 ± 1.53 and AOFAS score 82.79 ± 5.49. There were no observed significant differences the two groups in the number of serial debridements, bone defect length, bone union time, RUST score, or AOFAS score (p>0.05). Flap size ranged from 9×6cm2 to 14×7cm2 in the PAPF group and from 9×6cm2 to 13×7cm2 in the PTAPF group. There were no severe complications such as flap-related complications or amputation. The differences in complications in the two groups were not statistically significant.In cases of severe open tibial fracture, the reconstructive method is important. When delayed reconstruction is inevitable, surgeons should first perform radical debridement, followed by vacuum sealing drainage as a bridging therapy; both PAPF and PTAPF can be considered for definitive soft tissue coverage.