Revista Brasileira de Ortopedia | |
Advances in treating exposed fractures | |
Pedro Nogueira Giglio1  Alexandre Fogaça Cristante1  José Ricardo Pécora1  Camilo Partezani Helito1  Ana Lucia Lei Munhoz Lima1  Jorge Dos Santos Silva1  | |
关键词: Exposed fractures/diagnosis; Exposed fractures/classification; Wounds and injuries; Fraturas expostas; Fraturas expostas; Ferimentos e lesões; | |
DOI : 10.1016/j.rboe.2015.02.009 | |
来源: SciELO | |
【 摘 要 】
The management of exposed fractures has been discussed since ancient times and remains of great interest to present-day orthopedics and traumatology. These injuries are still a challenge. Infection and nonunion are feared complications. Aspects of the diagnosis, classification and initial management are discussed here. Early administration of antibiotics, surgical cleaning and meticulous debridement are essential. The systemic conditions of patients with multiple trauma and the local conditions of the limb affected need to be taken into consideration. Early skeletal stabilization is necessary. Definitive fixation should be considered when possible and provisional fixation methods should be used when necessary. Early closure should be the aim, and flaps can be used for this purpose.
【 授权许可】
CC BY-NC-ND
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
【 预 览 】
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RO202005130094698ZK.pdf | 767KB | download |