Open fractures are a common presentation to A&E, and require urgent assessment and management by the orthopaedic team.. Whilst most of these injuries can be safely managed on next day emergency lists, there are instances where emergency out-of-hours treatment is required.Left untreated, open fractures are associated with high rates of morbidity and mortality. Definition • Open fracture by definition is communication between external environment and the fracture. Amount of soft tissue injury 3. An open fracture requires different treatment than a closed fracture, in which there is no open wound. Classification • Gustilo and Anderson classification of open # – Based on 1. This can range from a small skin laceration or puncture overlying the fractured bone to the extreme case of a bone protruding through the skin. Remove this ... Open Fracture Classification Gustilo and Anderson. An open fracture is one in which there is communication between the bone and the outside environment. Standards for the management of open fractures of the lower limb details the optimal treatment for patients with these challenging injuries. An open fracture, also called a compound fracture, is a fracture in which there is an open wound or break in the skin near the site of the broken bone. Actions. 11/06/16 2 3. Drawing on an extensive review of the published evidence and their personal experience, the authors set out each stage of the management pathway, including what to do if complications arise. They are also called compound fractures. Degree of contamination 5. Size of wound 2. A closer look at principles of evaluation and management of open fractures is necessary if they are to be managed appropriately. Presence/absence of NV injury 4. Definition of open fracture • A broken bone that is in communication through the skin with the environment 4. Classification & Management of OPEN FRACTURES Dr. Anshu Sharma Moderator: Dr. Rajat Jangir11/06/16 2. An open fracture is a fracture that communicates with an overlying disruption of the skin and soft tissues.
Open fracture with extensive soft-tissue laceration, damage, or loss or an open segmental fracture. Most often, this wound is caused by a fragment of bone breaking through the skin at the moment of the injury. management of Open fractures usually affects the ultimate outcome.

• A soft tissue injury complicated by a broken bone. 1. Mechanism. Open versus closed. Open fractures are potentially limb-threatening injuries. Management of Open Fractures - PowerPoint PPT Presentation. Open Fractures Classification and Management.