Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

Ā© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Trauma
intermediate
X-Type

Open Fracture Management

Fracture Management

A 32-year-old motorcyclist is brought to the emergency department after a road traffic accident. He has a severely contaminated tibial shaft fracture with a 12cm wound, significant soft tissue stripping, and exposed bone. The limb is viable with intact dorsalis pedis pulse. Initial photos have been taken and a sterile dressing applied. Regarding open fracture management:

Mark each as TRUE or FALSE

A

The Gustilo-Anderson classification grades open fractures: Type I (wound less than 1cm, minimal cont...

B

Initial management follows ATLS principles; antibiotic administration should occur within 1 hour of ...

C

All open fractures require emergency surgery within 2 hours; high-pressure lavage is preferred; woun...

D

Surgical debridement extends wound edges to visualize the zone of injury; all devitalized tissue, fo...

E

Fracture stabilization options include external fixation (initial or definitive), intramedullary nai...

Answer the questions to see explanations

Click T (True) or F (False) for each option