Continuity between skin violation and fracture site, ranging from a puncture wound to grossly exposed bone
Surgical urgency, as delays in care increase risk of infection and rate of c...
Deformity with nearby violation in skin integrity
Neurovascular compromise may occur.
Additional traumatic injuries are frequently present.
Moist, sterile dressings over open wounds
Immobilize joints above and below fracture.
Control bleeding with local compression.
Consider tourniquet for traumatic amputations or uncon...
Open fractures are surgical urgencies requiring prompt orthopedic consultation.
40–70% of patients with open fractures have other traumatic injuries.
Prompt and thorough ED assessmen...
Bucholz RW, Heckman JD, Court-Brown CM, Tornetta P. Rockwood and Green's Fractures in Adults, 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.
Hauser CJ, Adam...
818.1 Ill-defined open fractures of upper limb
827.1 Other, multiple and ill-defined fractures of lower limb, open
829.1 Fracture of unspecified bone, open
828.1 Open multiple fractures involvi...
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