Open Fracture

  • Melvin C. Makhni
  • Eric C. Makhni
  • Eric F. Swart
  • Charles S. Day
Chapter

Abstract

There are very few true orthopedic emergencies. Several conditions such as open fractures, once thought to be emergent, have been shown in the literature to be urgencies that should be tended to in prompt rather than emergent fashion. Some notable emergencies are hemodynamically unstable pelvis fractures, necrotizing fasciitis, and compartment syndrome.

Keywords

Compartment syndrome Open fracture Septic joint Traumatic arthrotomy Necrotizing fasciitis High-pressure injection injury Hemodynamically unstable pelvis fracture Gunshot wound Femoral neck fractures Incomplete sci Cauda equina syndrome 

References

  1. Hauser CJ, Adams Jr CA, Eachempati SR, Council of the Surgical Infection Society. Surgical Infection Society guideline: prophylactic antibiotic use in open fractures: an evidence-based guideline. Surg Infect (Larchmt). 2006;7(4):379–405.CrossRefGoogle Scholar
  2. Saveli CC, Belknap RW, Morgan SJ, Price CS. The role of prophylactic antibiotics in open fractures in an era of community-acquired methicillin-resistant Staphylococcus aureus. Orthopedics. 2011;34(8):611–6. doi: 10.3928/01477447-20110627-25. quiz 617.CrossRefPubMedGoogle Scholar
  3. Zalavras CG, Patzakis MJ. Open fractures: evaluation and management. J Am Acad Orthop Surg. 2003;11(3):212–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Melvin C. Makhni
    • 1
  • Eric C. Makhni
    • 2
  • Eric F. Swart
    • 3
  • Charles S. Day
    • 4
  1. 1.Department of Orthopedic SurgeryColumbia Presbyterian Medical CenterNew YorkUSA
  2. 2.Sports Medicine, Department of Orthopedic Surgery, Henry Ford HospitalWayne State UniversityDetroitUSA
  3. 3.Orthopedic Trauma, Department of Orthopedics and Physical RehabilitationUniversity of Massachusetts Medical CenterWorcesterUSA
  4. 4.Orthopedic SurgeryHarvard Medical SchoolBostonUSA

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