Management of open fracture and related complications: the Japanese way

Hiroaki Minehara, MD; Yukichi Zenke, MD; Akihiro Maruo, MD; Takashi Matsushita, MD; Theodore Miclau, III, MD

doi:10.1097/OI9.0000000000000325

OTA International (May 2024)

Management of open fracture and related complications: the Japanese way

Hiroaki Minehara, MD,
Yukichi Zenke, MD,
Akihiro Maruo, MD,
Takashi Matsushita, 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
Yukichi Zenke, MD: b Trauma Reconstruction Center, University of Occupational and Environmental Health, Kitakyushu, Japan
Akihiro Maruo, MD: c Department of Orthopaedic Surgery, Harima-Himeji General Medical Center, Himeji, Japan
Takashi Matsushita, MD: a Department of Traumatology, Fukushima Medical University, Trauma and Reconstruction Center, Shin-Yurigaoka General Hospital, Kawasaki, Japan
Theodore Miclau, III, MD: d Department of Orthopaedic Surgery, Orthopaedic Trauma Institute, University of California, San Francisco, School of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, CA

DOI: https://doi.org/10.1097/OI9.0000000000000325
Journal volume & issue: Vol. 7, no. 3S

Abstract

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Abstract. Open fractures continue to be a challenging clinical problem throughout the world, and Japan is no exception. Surgeons are faced with critical decisions throughout the care of these injuries that can have significant effects in clinical outcome, ranging from the type and timing of antibiotic administration, fixation, soft-tissue management, and interventions for postfracture complications. In October 2022, the Japanese Society for Fracture Repair (JSFR) was invited to represent Japan as the Guest Nation society at the 38th Annual Meeting of the Orthopaedic Trauma Society held in Tampa, Florida. The JSFR organized a symposium, entitled “Management of Open Fracture and related complications—the Japanese way,” that featured cutting-edge approaches to open fractures in their country, including presentations on the “fix-and-flap” approach, local antibiotics perfusion delivery, and a “chipping” method for the stimulation of bone healing. This article summarizes the content of these 3 presentations from that symposium.

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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