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  1. Abstract. Open fractures are complex injuries associated with high morbidity and mortality. Despite advances made in fracture care and infection prevention, open fractures remain a therapeutic challenge with varying levels of evidence to support some of the most commonly used practices.

  2. A FRI consensus group recommends prophylactic antibiotics before surgery for patients undergoing open reduction and internal fixation of open or closed fractures. 1 Antibiotics should be given within 60 minutes before surgery and continued for up to 24 hours after surgery.

  3. 8 de ago. de 2023 · Objectives: Define an open vs a closed fracture. Review the workup procedure for an open fracture, including diagnostic imaging, laboratory studies, and empiric care where appropriate. Outline the management and followup for an open fracture, both surgical and post-surgical.

  4. The current challenges that health care faces financially and clinically offer an opportunity to develop a universal reliable, reproducible, evidence-based protocol. The authors review the current evidence concerning the acute management of open fractures and suggest a modern treatment algorithm.

  5. 12 de nov. de 2020 · The British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST-4) guideline outlines the acute management of patients with open fractures and is often considered the gold standard for open fracture management in the UK.

  6. The British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST-4) guideline outlines the acute management of patients with open fractures and is often considered the gold standard for open fracture management in the UK.

  7. 21 de feb. de 2018 · The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement & lavage of the open wound with combined bony and soft tissue reconstruction.