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The principles and practice of open fracture care, 2018 / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 187-192, 2018.
Artigo em Inglês | WPRIM | ID: wpr-691032
ABSTRACT
The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement & lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. While all elements of the surgical principles are very important and depend on each other for overall success the most critical element appears to be achieving very early healthy soft tissue cover. As the injuries become more complex this involves progressively more complex soft tissue reconstruction and may even requiring urgent free tissue transfer requiring close co-operative care between orthopaedic and plastic surgeons. Data suggests that the best results are obtained when the whole surgical reconstruction is completed within 48-72 h.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Infecção da Ferida Cirúrgica / Procedimentos de Cirurgia Plástica / Desbridamento / Fraturas Expostas / Irrigação Terapêutica / Métodos Limite: Humanos Idioma: Inglês Revista: Chinese Journal of Traumatology Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Infecção da Ferida Cirúrgica / Procedimentos de Cirurgia Plástica / Desbridamento / Fraturas Expostas / Irrigação Terapêutica / Métodos Limite: Humanos Idioma: Inglês Revista: Chinese Journal of Traumatology Ano de publicação: 2018 Tipo de documento: Artigo