UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation
Publication Date
2018-02-21
Document Type
Article
Disciplines
Orthopedics | Plastic Surgery | Surgery | Surgical Procedures, Operative | Trauma
Abstract
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.
Keywords
Bony stabilization, Debridement, Early healthy soft tissue cover, Open fractures
Rights and Permissions
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
10.1016/j.cjtee.2018.01.002
Source
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
Journal/Book/Conference Title
Chinese journal of traumatology = Zhonghua chuang shang za zhi
Related Resources
PubMed ID
29555119
Repository Citation
Diwan, Amna; Eberlin, Kyle R.; and Smith, Raymond Malcolm, "The principles and practice of open fracture care, 2018" (2018). Open Access Articles. 3391.
https://escholarship.umassmed.edu/oapubs/3391
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Orthopedics Commons, Plastic Surgery Commons, Surgery Commons, Surgical Procedures, Operative Commons, Trauma Commons