open fratures Flashcards
1
Q
grading of open fractures
A
gustilo and anderson
2
Q
big risk of open fractures
A
infection
3
Q
main mx of open fractures
A
1) must photograph the wound
2) remove any gross contaminants and apply a saline soaked gauze
3) speak with plastics early
4) debridement and fixation within 24hrs
5) up to date with tetanus
4
Q
what is it key to assess in an open fracture and after any manipulation
A
neurovascular status
5
Q
what feature are used to grade an open fracture
A
wound size, soft tissue involvement, periostea stopping and NV injury
6
Q
grade I open fracture
A
<1cm
7
Q
grade 2 open fracture
A
> 1cm
8
Q
grade 3 open fracture
A
means extensive soft tissue damage
IIIC means neurovascular involvement
