, Volume 30, Issue 1, pp 41–47 | Cite as

Fratture esposte meta-epifisarie distali di femore e meta-epifisarie prossimali di tibia

  • Stefano LeporeEmail author
  • Fabio Di Santo
  • Luigi Romano
  • Mario Misasi

Distal femural and proximal tibial open fractures


Open fractures around knee are difficult to treat because of the high rates of early and late complications such as wound healing or deep infection. Open reduction and early internal stabilisation remain controversial. Early wound closure, huge washing, large debridements, antibiotic prophylaxis reduce the rate of infection. Temporary external fixation is mandatory in comminuted unstable open fractures with soft tissue damage and allows for the management of polytraumatised patients in keeping with the orthopedic damage control principles. To avoid further complications of definitive internal fixation, knee bridging frames of external fixation should be used. The aim of this article was to summarise the management of open proximal tibia and distal femur fractures since the admission in emergency room to the definitive treatment.


Conflitto di interesse

Gli autori Stefano Lepore, Fabio Di Santo, Luigi Romano e Mario Misasi dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.


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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2016

Authors and Affiliations

  • Stefano Lepore
    • 1
    Email author
  • Fabio Di Santo
    • 1
  • Luigi Romano
    • 2
  • Mario Misasi
    • 1
  1. 1.U.O.C. I OrtopediaA.O.R.N. A. CardarelliNapoliItalia
  2. 2.Clinica OrtopedicaUniversità degli Studi “Magna Graecia”CatanzaroItalia

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