Open_Fractures_Professional a quick guide

Fractures are so dangerous especially open fractures

1. Open Fractures Comprehensive Overview

2. Definition Fracture with communication to external environment

3. Epidemiology Common in high-energy trauma

4. Etiology Road traffic accidents Gunshot injuries Falls

5. Pathophysiology Soft tissue damage Contamination Vascular compromise

6. Classification Overview Importance in management planning

7. Gustilo-Anderson Classification I Type I: Clean wound <1 cm

8. Gustilo-Anderson Classification II Type II: Wound >1 cm, moderate damage

9. Gustilo-Anderson Classification III Type III: Extensive soft tissue injury

10. Type III Subtypes IIIA, IIIB, IIIC explained

11. Clinical Evaluation Inspection Neurovascular assessment

12. Initial Management (ATLS) Airway, Breathing, Circulation

13. Control of Bleeding Direct pressure, avoid tourniquet unless necessary

14. Wound Assessment Size, contamination, tissue viability

15. Imaging X-rays in two planes CT scan if needed

16. Antibiotic Therapy Start immediately Choice depends on classification

17. Tetanus Prophylaxis Vaccination update if needed

18. Debridement Principles Remove devitalized tissue Irrigation

19. Timing of Debridement Golden period: within 6 hours

20. Stabilization of Fracture External fixation initially

21. Definitive Fixation Intramedullary nail, plate fixation

22. Soft Tissue Coverage Flap or graft options

23. Vacuum-Assisted Closure (VAC) Benefits in infection control

24. Infection Prevention Antibiotics, sterile technique

25. Complications Infection Nonunion Osteomyelitis

26. Limb Salvage vs Amputation Decision criteria

27. Rehabilitation Physiotherapy and functional recovery

28. Pediatric Open Fractures Differences in healing and management

29. Case Study 1 Gustilo Type IIIB tibial fracture

30. Case Study 2 Open femoral shaft fracture

31. Recent Advances Negative pressure therapy Antibiotic-coated nails

32. Role of Imaging in Follow-up X-ray, CT, MRI

33. Multidisciplinary Approach Ortho + Plastic + Vascular teams

34. Documentation Wound photos and operative notes

35. Key Points Summary Early antibiotics, prompt debridement

36. Quiz 1 Most common organism causing infection?

37. Quiz 2 Ideal timing for fixation?

38. Quiz 3 Components of Gustilo classification?

39. References Rockwood & Green’s Fractures in Adults, AO Principles