Management of severe open fracture of lower limbs with external fixation
The aim of open fracture management is to save life, prevent infection and promote fracture healing. This is done through resuscitation, emergency debridement, temporary stabilization with an external fixator, early soft tissue coverage and end with bone reconstruction. The spanning external fixatio...
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my.iium.irep.1079522023-11-16T02:34:28Z http://irep.iium.edu.my/107952/ Management of severe open fracture of lower limbs with external fixation Mohd Yusof, Nazri RD701 Orthopedics The aim of open fracture management is to save life, prevent infection and promote fracture healing. This is done through resuscitation, emergency debridement, temporary stabilization with an external fixator, early soft tissue coverage and end with bone reconstruction. The spanning external fixation is done out of the zone of injury in a safe manner. Early wound closure should be done within a week with conversion of internal fixation. The risk of infection increases if the conversion to internal fixation is done after 2 weeks unless the pin site does not go through the plan of internal fixation. Bone reconstruction is done after the wound is covered by distraction osteogenesis or bone graft. Sometimes, when complex plastic surgery is not possible, bone and soft tissue procedures can be done together with distraction osteogenesis as a salvage procedure. Bone and soft tissue defects can also be treated with a vascularised fibular osteocutaneous flap. A circular external fixator fixed with tension wire is suitable for severe intra-articular open fracture or fracture that extends to the diaphyseal region. The circular fixators also allow the fixation across the joint that protects the articular fragment and at the same time allows joint movement. 2023-11-03 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/107952/1/Management%20of%20severe%20open%20fracture%20of%20lower%20limbs.pdf application/pdf en http://irep.iium.edu.my/107952/2/Scientific%20Program%20-%2020231102.pdf application/pdf en http://irep.iium.edu.my/107952/13/world%20medical%20reports.jpeg Mohd Yusof, Nazri (2023) Management of severe open fracture of lower limbs with external fixation. In: International Faculty at 36th International Pak Orthocon 2023, 3-4th November 2023, Pearl Continental Hotel, Karachi. (Unpublished) |
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RD701 Orthopedics Mohd Yusof, Nazri Management of severe open fracture of lower limbs with external fixation |
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The aim of open fracture management is to save life, prevent infection and promote fracture healing. This is done through resuscitation, emergency debridement, temporary stabilization with an external fixator, early soft tissue coverage and end with bone reconstruction. The spanning external fixation is done out of the zone of injury in a safe manner. Early wound closure should be done within a week with conversion of internal fixation. The risk of infection increases if the conversion to internal fixation is done after 2 weeks unless the pin site does not go through the plan of internal fixation. Bone reconstruction is done after the wound is covered by distraction osteogenesis or bone graft. Sometimes, when complex plastic surgery is not possible, bone and soft tissue procedures can be done together with distraction osteogenesis as a salvage procedure. Bone and soft tissue defects can also be treated with a vascularised fibular osteocutaneous flap. A circular external fixator fixed with tension wire is suitable for severe intra-articular open fracture or fracture that extends to the diaphyseal region. The circular fixators also allow the fixation across the joint that protects the articular fragment and at the same time allows joint movement. |
format |
Proceeding Paper |
author |
Mohd Yusof, Nazri |
author_facet |
Mohd Yusof, Nazri |
author_sort |
Mohd Yusof, Nazri |
title |
Management of severe open fracture of lower limbs with external fixation |
title_short |
Management of severe open fracture of lower limbs with external fixation |
title_full |
Management of severe open fracture of lower limbs with external fixation |
title_fullStr |
Management of severe open fracture of lower limbs with external fixation |
title_full_unstemmed |
Management of severe open fracture of lower limbs with external fixation |
title_sort |
management of severe open fracture of lower limbs with external fixation |
publishDate |
2023 |
url |
http://irep.iium.edu.my/107952/1/Management%20of%20severe%20open%20fracture%20of%20lower%20limbs.pdf http://irep.iium.edu.my/107952/2/Scientific%20Program%20-%2020231102.pdf http://irep.iium.edu.my/107952/13/world%20medical%20reports.jpeg http://irep.iium.edu.my/107952/ |
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13.18916 |