2020, Number 04
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Revista Médica Sinergia 2020; 5 (04)
Open fractures management
Brenes MM
Language: Spanish
References: 28
Page: 1-15
PDF size: 183.73 Kb.
ABSTRACT
Open fractures are characterized by the loss of bone continuity and
exposure of the fracture site with the external environment, a situation that
makes them especially vulnerable to infectious processes and multiple
complications. Most open fractures are caused by high energy trauma;
occurring more in men and the tibia being the bone that is most frequently
affected. They are classified according to the mechanism of injury, the
severity of soft tissue injury, the configuration of the fracture and the degree
of contamination; being the most used classification of Gustilo and
Anderson for their therapeutic utility. The main goals of treatment are to
prevent infection, stabilize the fracture, achieve consolidation and restore
function; for this, the establishment of antibiotic prophylaxis and adequate
soft tissue management is essential.
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