Management of Open Fractures of the Extremities and Pediatrics.

J Am Acad Orthop Surg

From the Department of Orthopaedic Surgery, UC Irvine, Irvine, CA (Lim and Gupta), the Department of Orthopaedic Surgery, NYU, New York, NY (Hacquebord), the Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD (Shafiq), and Hansjorg Wyss Department of Plastic Surgery, New York

Published: October 2024


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

The modern management of open fractures was established after the foundational work of Gustilo and Anderson, but we continue to strive to determine the optimal treatment of open fractures to diminish the risk of infection. The ideal timing of antibiotics, presentation to the operating room, and timing of procedures such as flap coverage continue to be investigated with incremental changes recommended over the years. This article aims to provide the most recent review of the literature regarding the timing and management of both upper and lower extremity open fractures, pediatric open fractures, current topics of controversy, and the data supporting current treatment recommendations.

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOS-D-23-00757DOI Listing

Publication Analysis

Top Keywords

open fractures
20
management open
8
fractures
5
fractures extremities
4
extremities pediatrics
4
pediatrics modern
4
modern management
4
open
4
fractures established
4
established foundational
4

Similar Publications

Background: Open fractures are common and severe injuries that are associated with poor functional outcomes and quality of life, and high societal costs. Several classifications systems have been developed to characterize these injuries, predict prognosis and plan treatment. We aimed to assess the agreement between open fracture classification and patient-reported function, fracture-related infection, and amputation.

View Article and Find Full Text PDF

Objective: People who have experienced stroke are at a high risk for falls, fractures, and osteoporosis. Bone health post-stroke is often overlooked. The goal of this study was to understand current practice perspectives and barriers to bone health care post-stroke among physiatrists.

View Article and Find Full Text PDF

Introduction Proximal femoral fractures are a major cause of disability, particularly in aging populations, with an increasing incidence. Although osteosynthesis remains the first-line treatment, failures are common due to various complications. Total hip arthroplasty (THA) is the preferred salvage procedure in such cases, despite its technical challenges.

View Article and Find Full Text PDF

Aims: Patella fractures can greatly impact knee function and quality of life. The primary aim of this study was to assess patient-reported outcomes one-year post-patella fracture. A secondary aim was to evaluate outcome differences based on sex, age, fracture classification, treatment modality, and patients' expectations.

View Article and Find Full Text PDF