Department of Orthopedics and Physical Rehabilitation
Orthopedics | Plastic Surgery | Surgery | Surgical Procedures, Operative | Trauma
The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement and lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. While all elements of the surgical principles are very important and depend on each other for overall success the most critical element appears to be achieving very early healthy soft tissue cover. As the injuries become more complex this involves progressively more complex soft tissue reconstruction and may even requiring urgent free tissue transfer requiring close co-operative care between orthopaedic and plastic surgeons. Data suggests that the best results are obtained when the whole surgical reconstruction is completed within 48-72 h.
Bony stabilization, Debridement, Early healthy soft tissue cover, Open fractures
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In Press, Corrected Proof. © 2018 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Under a Creative Commons license: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0).
DOI of Published Version
Chin J Traumatol. 2018 Feb 21. pii: S1008-1275(18)30014-2. doi: 10.1016/j.cjtee.2018.01.002. [Epub ahead of print]. Link to article on publisher's site
Chinese journal of traumatology = Zhonghua chuang shang za zhi
Diwan A, Eberlin KR, Smith RM. (2018). The principles and practice of open fracture care, 2018. Open Access Publications by UMass Chan Authors. https://doi.org/10.1016/j.cjtee.2018.01.002. Retrieved from https://escholarship.umassmed.edu/oapubs/3391
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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.