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RESEARCH ARTICLE

Update on the Management of Open Lower Limb Fractures

The Open Orthopaedics Journal 30 Nov 2012 RESEARCH ARTICLE DOI: 10.2174/1874325001206010571

Abstract

Open lower limb fractures pose a significant challenging pathology for orthopaedic and plastic surgeons to manage due to the combined soft tissue damage, bone loss and potential vascular compromise. These fracture require extensive team-work and expertise between several surgical specialties and the advice of non-surgical specialties to ensure good clinical outcomes. Extensive research has improved the outcomes of open lower limb fractures and current recommendation on the optimal management is always being updated to enhance patient outcomes. This review serves to provide an overview of the management of open tibial fractures using current evidence and recently updated UK guidelines. The optimal time for surgical debridement, surgical intervention, providing antibiotics and soft tissue coverage will be outlined as well as the indications for amputation.

Keywords: Open tibial fracture, lower limb fracture, amputation, gustilo and and Anderson score, wound debridement.
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