This slide gives an overview of open fractures. There are actual life images i have personally encountered. Gustilo Anderson classification, treatment and complications have been discussed.

1. Approach to Open
Fractures
DR ASISH RAJAK
LECTURER
ORTHOPEDICS, BPKIHS

10. Classification
Gustilo and Anderson (1976)

26. Complications

34. Open Fractures
Complications:
Skin- loss or contractures
Bone- loss, infection, non-union
Joints- infection, stiffness
Deformities

35. Advances in treatment shifted the focus
- Cosmesis
- Prevention of complications
- Preservation of function
- Preservation of life and limb
- Amputation

36. Conclusion
Always try to treat as a whole and not only limbs
Always check for the distal neurovascular deficit
Immobilization reduces pain
Open fracture treat it as an emergency (AB, Tet. Prophylaxis)
Primary wound management decides the future of the limb

37. Take home message
- Multidisciplinary team : experienced Orthopedic
and Plastic surgeon
- Arrangements for immediate referral
- Done at a specialist centre