The Treatment of Open Fractures

被引：2
作者：
Evans, Andrew R. [1 ]
机构：
[1] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15260 USA
来源：
OPERATIVE TECHNIQUES IN ORTHOPAEDICS | 2016年 / 26卷 / 01期
关键词：
open fracture; treatment; debridement; injury severity stratification; surgical management; antibiotics;
D O I：
10.1053/j.oto.2016.01.004
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Patients with open fractures often present with severe soft-tissue injuries, bony injuries, and contamination that requires prompt treatment. Classifying these verity of injury is important for diagnostic and treatment purposes, including administering antibiotic prophylaxis, providing emergency room management, and executing timely surgical intervention. Surgery is performed to minimize contamination, eliminate necrotic and devascularized tissue, provide biological stabilization of the trauma-induced zone of tissue necrosis, and mechanically stabilize the soft tissues and bone. By approaching these fractures in a multi-disciplinary manner, the development of infection after open fractures can be minimized. (C) 2016 published by Elsevier Inc.
引用
收藏
页码：34 / 39
页数：6
相关论文
共 34 条
  • [1] The OTA Open Fracture Classification: A Study of Reliability and Agreement
    Agel, Julie
    Evans, Andrew R.
    Marsh, John Lawrence
    DeCoster, Thomas A.
    Lundy, Douglas W.
    Kellam, James F.
    Jones, Clifford B.
    DeSilva, Gregory L.
    [J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 2013, 27 (07) : 379 - 384
  • [2] American College of Surgeons, ATLS ADV TRAUM LIF S
  • [3] Describing severe limb trauma
    Arnez, ZM
    Tyler, MPH
    Khan, U
    [J]. BRITISH JOURNAL OF PLASTIC SURGERY, 1999, 52 (04): : 280 - 285
  • [4] Barber R, J ORTHOP TRAUMA
  • [5] THE FUTILITY OF PREDICTIVE SCORING OF MANGLED LOWER-EXTREMITIES
    BONANNI, F
    RHODES, M
    LUCKE, JF
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1993, 34 (01) : 99 - 104
  • [6] A prospective evaluation of the clinical utility of the lower-extremity injury-severity scores
    Bosse, MJ
    MacKenzie, EJ
    Kellam, JF
    Burgess, AR
    Webb, LX
    Swiontkowski, MF
    Sanders, RW
    Jones, AL
    McAndrew, MP
    Patterson, BM
    McCarthy, ML
    Cyril, JK
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (01) : 3 - 14
  • [7] INTEROBSERVER AGREEMENT IN THE CLASSIFICATION OF OPEN FRACTURES OF THE TIBIA - THE RESULTS OF A SURVEY OF 245 ORTHOPEDIC SURGEONS
    BRUMBACK, RJ
    JONES, AL
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (08) : 1162 - 1166
  • [8] MANAGEMENT OF OPEN TIBIAL FRACTURES
    BYRD, HS
    SPICER, TE
    CIERNEY, G
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1985, 76 (05) : 719 - 728
  • [9] CHAPMAN MW, 1979, CLIN ORTHOP RELAT R, P120
  • [10] Early versus delayed surgical treatment of open tibial fractures: effect on the rates of infection and need of secondary surgical procedures to promote bone union
    Charalambous, CP
    Siddique, I
    Zenios, M
    Roberts, S
    Samarji, R
    Paul, A
    Hirst, P
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2005, 36 (05): : 656 - 661
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