open fractures Flashcards
1
Q
goals of open fracture treatment
A
- convert contaminated wounds to clean wounds
- early soft tissue healing
- stabilize fractures
2
Q
gustillo anderson type 1
A
clean puncture <1cm
simple fracture
little soft tissue damage
3
Q
gustillo anderson type 2
A
laceration >1cm
moderate contamination
no extensive soft tissue damage
moderate comminution
4
Q
gustillo anderson type 3A
A
extensive laceration
adequate soft tissue coverage
severe comminution
5
Q
gustillo anderson type 3B
A
massive contamination extensive soft tissue loss periosteal stripping bone exposure severe comminution
6
Q
gustillo anderson type 3C
A
open fracture with arterial injury
7
Q
open fracture antibiotic protocols
A
limited duration of therapy (48-72 hrs)
Penicillin G in clostridium prone wounds
8
Q
type 1 open fractures antibiotic therapy
A
cefazolin (Ancef) 2 gm IV Q 8h
9
Q
type 2 and 3 open fractures antibiotic therapy
A
combined therapy
cefzolin (Ancef)
Aminoglycoside 3-5mg/kg/day
