J Korean Orthop Assoc.  2018 Feb;53(1):9-18. 10.4055/jkoa.2018.53.1.9.

The Current Concepts in the Management of Open Fractures

Affiliations
  • 1Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, Korea. kcpark722@gmail.com

Abstract

Open fractures require infection prevention, injured soft tissue management, and fracture fixation. Moreover, it should be treated according to the emergency surgery. The main goals of treatment are life preservation, limb preservation, infection prevention, and functional restoration. Treatment procedure is carried out in the following order. Early diagnosis and management in the emergency room, appropriate antibiotic treatment, adequate irrigation and thorough debridement, fracture fixation and wound restoration (temporary stabilization of the fracture and covering of the wound, definite fixation of the fracture and soft tissue coverage). Herein, we discuss the current trends in each treatment phase to be helpful to other clinicians regarding the applicability of these steps in clinical practice.

Keyword

open fractures; debridement; external fixators; internal fixators
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