Evolution in the Acute Management of Open Fracture Treatment? Part 2. Issue 9 (September 2021)

• Record Type: Journal Article
• Authors: Sagi, H. Claude; Patzakis, Michael J.
• Is Part Of: Journal of orthopaedic trauma. Volume 35:Issue 9(2021)
• Publication Date: 2021-09
• Subjects: open fracture -- irrigation and debridement -- irrigation solutions -- timing to wound coverage -- negative pressure wound therapy -- antibiotic beads; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000002095
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Introduction: In the first installment of this two-part series, we explored the history of open fracture treatment focusing primarily on bacteriology and antibiotic selection/stewardship. In this follow-up segment, we will analyze and summarize the other aspects of open fracture care such as time to debridement, pulsatile lavage, and open wound management (including time to closure)—finishing with summative statements and recommendations based on the current most up-to-date literature. Level of Evidence: Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.