Open fractures: Current treatment perspective

Hiroaki Minehara, MD; Akihiro Maruo, MD; Rafael Amadei, MD, MS; Achille Contini, MD; Adriano Braile, MD; Michael Kelly, MD; Lydia Jenner, MD; Geoffrey W. Schemitsch, MD; Emil H. Schemitsch, MD; Theodore Miclau, III, MD

doi:10.1097/OI9.0000000000000240

OTA International (Jun 2023)

Open fractures: Current treatment perspective

Hiroaki Minehara, MD,
Akihiro Maruo, MD,
Rafael Amadei, MD, MS,
Achille Contini, MD,
Adriano Braile, MD,
Michael Kelly, MD,
Lydia Jenner, MD,
Geoffrey W. Schemitsch, MD,
Emil H. Schemitsch, MD,
Theodore Miclau, III, MD

Affiliations

Hiroaki Minehara, MD: a Department of Traumatology, Fukushima Medical University, Trauma and Reconstruction Center, Shin-yurigaoka General Hospital, Kawasaki, Japan
Akihiro Maruo, MD: b Department of Orthopaedic Surgery, Harima-Himeji General Medical Center, Himeji, Japan
Rafael Amadei, MD, MS: c Orthopaedics Trauma Unit, Cuenca Alta Cañuelas Hospital, Buenos Aires, Argentina
Achille Contini, MD: d Orthopedics and Traumatology Department, ASL 1 “Ospedale del Mare” Hospital, Napoli, Italy
Adriano Braile, MD: d Orthopedics and Traumatology Department, ASL 1 “Ospedale del Mare” Hospital, Napoli, Italy
Michael Kelly, MD: f North Bristol NHS Trust, Bristol, England
Lydia Jenner, MD: f North Bristol NHS Trust, Bristol, England
Geoffrey W. Schemitsch, MD: g Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, Canada
Emil H. Schemitsch, MD: h Department of Surgery, University of Western Ontario, London Health Sciences Centre, London, ON, Canada; and
Theodore Miclau, III, MD: i Department of Orthopaedic Surgery; Orthopaedic Trauma Institute; University of California, San Francisco, CA.

DOI: https://doi.org/10.1097/OI9.0000000000000240
Journal volume & issue: Vol. 6, no. 3S

Abstract

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Summary:. Severe open fractures present challenges to orthopaedic surgeons worldwide, with increased risks of significant complications. Although different global regions have different resources and systems, there continue to be many consistent approaches to open fracture care. Management of these complex injures continues to evolve in areas ranging from timing of initial operative debridement to the management of critical-sized bone defects. This review, compiled by representative members of the International Orthopaedic Trauma Association, focuses on several critical areas of open fracture management, including antibiotic administration, timing of debridement, bone loss, soft tissue management, and areas of need for future investigation.

Published in OTA International

ISSN: 2574-2167 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://journals.lww.com/otainternational/pages/default.aspx

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