Soft Tissue Injuries
A 35-year-old motorcyclist is brought to the emergency department after a high-speed collision. He has an obvious deformity of his right leg with a 6cm wound over the anterior tibia. Bone is visible in the wound and there is moderate contamination with road debris. The foot is warm with palpable pulses. Motor and sensory function is intact. Radiographs confirm a comminuted tibial shaft fracture. Regarding open fracture management:
Mark each as TRUE or FALSE
The Gustilo-Anderson classification grades open fractures: Type I (clean wound less than 1cm, low en...
Initial management includes tetanus prophylaxis, IV antibiotics within 1 hour (first-generation ceph...
Antibiotics should be delayed until cultures are taken; Type I fractures have highest infection risk...
Operative debridement involves systematic removal of non-viable tissue (skin, fat, fascia, muscle - ...
Definitive fixation depends on soft tissue status: IM nailing is safe for most Type I-II and select ...
Answer the questions to see explanations
Click T (True) or F (False) for each option