Abstract
The simple classification as open or closed seem to be the only universally accepted scheme but is not enough for therapeutic decision making, quality control, and scientific comparison of different soft-tissue lesions.Closed fractures are divided into four grades of severity according to Tscherne and Oesterb,whereas open fractures are classified into three grades and three subgrades accordibg to Gustilo and Anderson.
The simple classification as open or closed seem to be the only universally accepted scheme but is not enough for therapeutic decision making, quality control, and scientific comparison of different soft-tissue lesions.Closed fractures are divided into four grades of severity according to Tscherne and Oesterb,whereas open fractures are classified into three grades and three subgrades accordibg to Gustilo and Anderson.
The treatment algorithm of open fractures encloses pimary treatment at the scene (reduction of the fracture, splinting and coverage of the wound).In the emergency room assesment of the patient follows.In the operating room dressings of the wound are removed,wound irrigation and debridement will follow.Stabilization of the fracture is performed either by plate,nail or external fixation.Wound closure can be performed primary or delayed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gustilo RB, Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analysis. J Bone Joint Surg Am 58(4):453–458
Oestern HJ (1986) Isolated soft-tissue trauma and combination injuries. Langenbecks Arch Chir 369:523–526
Tscherne H, Oestern HJ (1982) A new classification of soft-tissue damage in open and closed fractures. Unfallheilkunde 85(3):111–115
Clifford RP (2000) Open fractures. In: Rüedi TP, Murphy WM (eds) AO principles of fracture management. Thieme Verlag, Stuttgart/New York, pp 617–637
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Oestern, HJ. (2014). Soft-Tissue Trauma. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) General Trauma Care and Related Aspects. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88124-7_10
Download citation
DOI: https://doi.org/10.1007/978-3-540-88124-7_10
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-88123-0
Online ISBN: 978-3-540-88124-7
eBook Packages: MedicineMedicine (R0)