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Orthop Clin North Am. 2017 Jan;48(1):25-34. doi: 10.1016/j.ocl.2016.08.006.

Timing of Operative Debridement in Open Fractures.

Author information

1
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA; Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA.
2
Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA. Electronic address: Samir.mehta@uphs.upenn.edu.

Abstract

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.

KEYWORDS:

Antibiotics; Debridement; Open fracture; Surgical timing

PMID:
27886680
DOI:
10.1016/j.ocl.2016.08.006
[Indexed for MEDLINE]

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