The Ortho-Plastic Approach to Soft Tissue Management in Trauma

Daniel J Jordan 1, Marco Malahias 2, Wasim Khan 3, Sandip Hindocha*, 4
1 Plastic Surgery Unit, The Christie NHS Foundation Trust, Manchester, UK
2 Plastic Surgery Department, Good Hope Hospital, West Midlands, UK
3 Royal National Orthopaedic Hospital, London, UK
4 Plastic Surgery Unit, Whiston Hospital, Liverpool, UK

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© Jordan et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License ( which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Plastic Surgery, Whiston Hospital, Liverpool, UK L35 5DR, UK; Tel: + 44(0)1244366265; Fax: +44(0)1244366265; E-mail:


Fractures with associated soft tissue injuries, or those termed ‘open,’ are not uncommon. There has been much discussion regarding there management, with the guidance from the combined British Orthopaedic Association and British Association and Aesthetic Surgeons teams widely accepted as the gold level of therapy. We aim to discuss the current evidence about the initial management of this group of injuries, taking a journey from arrival in the accident and emergency department through to the point of definitive closure. Other modes of therapy are also reviewed.

Keywords: Debridement;, open fracture;, soft-tissue..