Which of the following statements about open fractures is/are correct? (PGI Nov 2010)
|A||Intravenous antibiotics should be administered as soon as possible.|
|B||They should be regarded as an emergency.|
|C||Wound closure is necessary within 8 hours.|
|D||Systematic wound débridement and irrigation should be performed.|
|E||They most often result from low-energy injuries.|
A. Intravenous antibiotics should be administered as soon as possible.
B. They should be regarded as an emergency.
D. Systematic wound débridement and irrigation should be performed.
Open fractures represent an orthopedic emergency. They result most frequently from high-energy injuries. Current treatment includes administration of intravenous antibiotics, systematic wound irrigation, and débridement with respect for the neurovascular bundles. Immediate wound closure is rarely indicated and should be performed once the wound contamination is determined to be low.