Open Fractures

Question 1

what is an open fracture

Answer 1

when there is a direct communication between the external environment and the fracture

Question 2

why are open fractures important

Answer 2

increased infection rate

long term morbidly

Question 3

what is a type 1 open fracture

Answer 3

wound <1cm, clean and simple fracture

low energy

Question 4

what is a type 2 open fracture

Answer 4

wound >1cm, moderate skin damage, adequate skin cover

moderate energy

Question 5

what is type 3 open fracture

Answer 5

extensive soft tissue damage, complex fracture pattern
>10cm severe fracture, neuovascular damage
extensive muscle damage

Question 6

what is the aim

Answer 6

preservation of life
preservation of limb
avoid infection
rehabillitation

Question 7

what is the management of an open fracture

Answer 7

ALTS assessment
antiboptics
repeat examiantions
stabilise limb

Question 8

what are indications for urgent surgery

Answer 8

gross contamination
neurological compromise
polytraumitised

Question 9

when is surgery usually done

Answer 9

within 24 hours

Question 10

when is amputation considered

Answer 10

limb ishaemia

gross contamination