Fracture Management
A 35-year-old motorcyclist presents after a high-speed collision with an open tibial fracture. There is a 12cm wound with significant muscle devitalization, periosteal stripping, and visible bone fragments. The posterior tibial pulse is absent but returns after reduction. Contamination with road debris is evident. Regarding open fracture management:
Mark each as TRUE or FALSE
The Gustilo-Anderson classification stratifies open fracture severity: Type I (wound less than 1cm, ...
Initial management includes primary survey and resuscitation, gross contamination removal, wound irr...
Antibiotics can be delayed until after surgery without consequence; wound closure should always be i...
Surgical debridement principles: systematic removal of all devitalized tissue (non-bleeding muscle, ...
Soft tissue coverage timing: early coverage (within 72 hours to 7 days) associated with lower infect...
Answer the questions to see explanations
Click T (True) or F (False) for each option