Open Fractures

Question 1

Open Fractures

Answer 1

where the fractures causes a tear in skin and there is exposure

Question 2

causes

Answer 2

high energy traumas

Question 3

signs

Answer 3

visible wound
potentially can see the bone
intense pain

Question 4

what criteria is used

Answer 4

Gustillo-Anderson

Question 5

management

Answer 5

ABCDE
IV morphine
IV antibiotics as prophylaxis (co-amoxiclav)

surgical management:
wash out of wound
temporary stabilisation 
give another antibiotic(gentamicin), wait for tissue swelling to reduce
complete fixation and closure of wound

Question 6

complications

Answer 6

chronic osteomyelitis

compartment syndrome

Question 7

Gustillo-Anderson critieria

Answer 7

1. <1cm wide
2. > 1cm moderate tissue damage
3. > 1cm severe tissue damage
   3a. >10cm wide with adequate soft tissue covering
   3b. >10cm wide but inadequate soft tissue covering
   3c. any would with a major vascular injury