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Nigerian Journal of Orthopaedics and Trauma

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Management of Open Fractures

OC Nwokike, JE Onuminya, E Esezobor, E Edomwonyi

Abstract


This paper reviews the management of open fracture. The challenges of management are highlighted. The imperatives of optimum treatment which involves appropriate initial assessment and resuscitation; administration of broad spectrum antibiotics, anti-tetanus prophylaxis and analgesics. Followed by specific evaluations, urgent operative debridement and skeletal stabilization. Early soft tissue coverage, delayed bone graft and rehabilitation are discussed.

Key Words: Open fractures, management.




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