Approach to open fractures
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The document discusses the approach to treating open fractures, highlighting the Gustilo and Anderson classification and various complications such as skin loss, infection, and non-union. It emphasizes the importance of a multidisciplinary team for effective management and the necessity of treating open fractures as emergencies, including prompt primary wound management. The overall aim is to preserve limb function and prevent complications, with a focus on both cosmetic and functional outcomes.
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Approach to open fractures
- 1. Approach to Open Fractures DR ASISH RAJAK LECTURER ORTHOPEDICS, BPKIHS
- 10. Classification Gustilo and Anderson (1976)
- 26. Complications
- 34. Open Fractures Complications: Skin- loss or contractures Bone- loss, infection, non-union Joints- infection, stiffness Deformities
- 35. Advances in treatment shifted the focus - Cosmesis - Prevention of complications - Preservation of function - Preservation of life and limb - Amputation
- 36. Conclusion Always try to treat as a whole and not only limbs Always check for the distal neurovascular deficit Immobilization reduces pain Open fracture treat it as an emergency (AB, Tet. Prophylaxis) Primary wound management decides the future of the limb
- 37. Take home message - Multidisciplinary team : experienced Orthopedic and Plastic surgeon - Arrangements for immediate referral - Done at a specialist centre