Fracturas expuestas, manejo clínico y quirúrgico
Open fractures are injuries in which the fracture and its hematoma communicate with the environment through a traumatic defect in the surrounding soft tissues and the overlying skin. These injuries are particularly susceptible to both bone and soft tissue infections, and early management strategies...
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| Egile Nagusiak: | , , , |
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| Formatua: | Artikulua |
| Hizkuntza: | Gaztelania |
| Argitaratua: |
2022
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| Gaiak: | |
| Sarrera elektronikoa: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8603939 |
| Baliabidea: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 4, 2022, pags. 58-67 |
| Etiketak: |
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| Laburpena: |
Open fractures are injuries in which the fracture and its hematoma communicate with the environment through a traumatic defect in the surrounding soft tissues and the overlying skin. These injuries are particularly susceptible to both bone and soft tissue infections, and early management strategies should aim to minimize the risk of such infections. Over the years, an appropriate treatment for open fractures has been sought, achieving significant advances; however, today the complications that these entail are still a health inconvenience. By virtue of which, the main objective of this research is to summarize the clinical and surgical management of open fractures. The research was developed through a bibliographical documentary type methodology under the review modality. From the review it was found that adequate and early antibiotic therapy minimizes the risk of infection and also improves the prognosis of the injury. As for radical surgical debridement, it also reduces the risk of infection. Properly addressing factors such as quality surgical cleaning, adequate coverage of the wound, as well as definitive fixation of the fracture, favorably affects the reduction of days of hospital stay, as well as the complications of the fracture. Finally, it is important to highlight that each open fracture is different, in view of which the generalities of clinical management can be followed, however, the treatment must be adapted to each patient and each type of fracture in particular. |
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