TREATMENTS FOR THE OPEN FRACTURE

Fractures with soft-tissue injury are urgent surgical emergencies. Fra cture care in the first few hours after the injury crucially determine s the course of healing. In open fractures aggressive debridement of a ll necrotic tissues is mandatory as well as stable external or interna l fracture fixation. Secondary wound closure must be performed liberal ly and prophylactic antibiotics should be administered. Closely observ ing such a stringent regimen, the rate of posttraumatic osteitis in op en fractures can be reduced significantly.