Open Fractures
A 28-year-old motorcyclist is brought to the emergency department after a high-speed collision. His right leg has a 6cm wound over the anterolateral tibia with visible bone and moderate contamination. The wound has muscle damage but the posterior tibial artery is palpable and sensation is intact. Radiographs show a comminuted tibial shaft fracture. Regarding open fracture management:
Mark each as TRUE or FALSE
The Gustilo-Anderson classification stratifies open fractures by wound size, soft tissue damage, and...
Initial management priorities: resuscitation (ATLS), wound assessment and photography, removal of gr...
Wound size is the only factor in Gustilo classification; antibiotics can be delayed until after surg...
Surgical debridement principles: perform in operating theater with adequate lighting and equipment; ...
Definitive treatment considerations: stabilization method depends on fracture pattern, soft tissue d...
Answer the questions to see explanations
Click T (True) or F (False) for each option