Introduction: Coverage of open tibial fractures presents unique defects requiring the ingenuity of the surgeon in devising flaps for stable coverage. In our country road traffic accidents are the most common cause of lower limb trauma, followed by fall from height. Though well established norms are in place regarding the time and nature of cover, it requires a team effort with involvement of the orthopaedic surgeon as a rule, and allied specialities like plastic surgeons, general surgeons