Читать книгу Synopsis of Orthopaedic Trauma Management - Brian H. Mullis - Страница 26

Open fractures are associated with a breach in the surrounding soft-tissue envelope leading to direct communication between fractured bone and the outside world. These are often complex injuries commonly associated with significant soft tissue disruption, concomitant neurovascular injuries, and difficult-to-treat fractures that warrant careful assessment and important changes in treatment compared to a similar closed fracture. Thorough excisional debridement of devitalized tissue and contamination, early intravenous antibiotics, local wound antibiotic delivery, fracture stabilization, and timely soft tissue coverage are important components of open fracture management aimed at mitigating complications.