Summary: Antibiotics are effective in preventing early infection in open fractures of the limbs
Wound and bone infections are common complications following open fractures of the limbs. For more than 20 years, in developed countries, the use of antibiotics has been a part of a standard management protocol that also includes...
Medscape 2000 Report
At the current time, it seems most appropriate to use high-pressure lavage systems in the irrigation and debridement of open fractures. It is noted that high-pressure lavage may have adverse effects and that surgeons should be judicious in the amount of fluid that is potentially injected into the...
Synonym: compound fracture
An open fracture can be defined as a broken bone that is in communication through the skin with the environment. The amount of communication can vary from a small puncture wound in the skin to a large avulsion of soft tissue that leaves the bone exposed.
1. Define open fracture
2. Describe a system of classification for open fractures
3. Describe an approach to management of open fractures
4. Discuss indications for wound closure with open fractures
5. Discuss methods of fixation for open fractures,...
Tibial fractures are often open due to most of the anterior border of the shaft being subcutaneous. The wound must be inspected in the trauma ward and then covered with a sterile dressing. A broad spectrum antibiotic is given (first generation cephalosporin plus amiloglycocide if very contaminated) Prophylaxis against tetanus...
The Decision to Salvage or Amputate a Severely Injured Limb
J South Orthop Assoc 9(1):72-78, 2000
Mark D. Hiatt, MD, MBA, James M. Farmer, MD, Robert D. Teasdall, MD, ScM
The decision to salvage or amputate a severely injured limb is one of the most difficult an orthopaedic surgeon may face. The...
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