Open Fractures
A 28-year-old man is brought to the emergency department following a motorcycle accident. He has an open tibial shaft fracture with a 12cm wound, significant soft tissue stripping, and contamination with road debris. The fracture is comminuted and there is segmental bone loss. Vascular examination reveals palpable pulses distally. Regarding open fractures:
Mark each as TRUE or FALSE
The Gustilo-Anderson classification is based on wound size, soft tissue injury severity, and contami...
Infection rates correlate with Gustilo grade: Type I (0-2%), Type II (2-5%), Type IIIA (5-10%), Type...
Type I open fractures have the highest infection rate; Type IIIC has vascular injury but is less sev...
Management principles include tetanus prophylaxis, early antibiotic administration (first-generation...
Wound management includes serial debridements (relook at 24-48 hours), delayed primary closure or se...
Answer the questions to see explanations
Click T (True) or F (False) for each option