Timing of Operative Debridement in Open Fractures

The optimal treatment of open fractures continues to be an area of debate in the orthopedic literature. Recent research has challenged the dictum that open fractures should be debrided within 6 hours of injury. However, the expedient administration of intravenous antibiotics remains of paramount imp...

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Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 48; no. 1; p. 25
Main Authors Rozell, Joshua C, Connolly, Keith P, Mehta, Samir
Format Journal Article
LanguageEnglish
Published United States 01.01.2017
Subjects
Debridement - methods
Fractures, Open - surgery
Humans
Operative Time
Surgical Wound Infection - prevention & control
Debridement
Antibiotics
Open fracture
Surgical timing
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Summary:The optimal treatment of open fractures continues to be an area of debate in the orthopedic literature. Recent research has challenged the dictum that open fractures should be debrided within 6 hours of injury. However, the expedient administration of intravenous antibiotics remains of paramount importance in infection prevention. Multiple factors, including fracture severity, thoroughness of debridement, time to initial treatment, and antibiotic administration, among other variables, contribute to the incidence of infection and complicate identifying an optimal time to debridement.
ISSN:1558-1373
DOI:10.1016/j.ocl.2016.08.006