Open Fracture Orthobullets
The patient continues to have pain in the leg with weight-bearing but denies any fevers or chills. Extensor mechanism and retinaculum disrupted.
Emdocs Net Emergency Medicine Educationem 3am Open Fracture Emdocs Net Emergency Medicine Education
Lacerations abrasions in setting of open fracture.
. Inability to perform straight leg raise. His surgical wounds appear well-healed with a small sinus tract over the open fracture site. Recent labs reveal an ESR CRP and 25-hydroxyvitamin D2 of 32 mmhr reference 0-20 mmhr 15 mgdL.
Saline load test can be performed to rule out concomitant knee joint involvement. Figures A and B are the current radiographs. Can aspirate hemarthrosis and inject local anesthetic if patient unable to perform due to pain.
The Gustilo open fracture classification system is the most commonly used classification system for open fracturesIt was created by Ramón Gustilo and Anderson and then further expanded by Gustilo Mendoza and Williams. This system uses the amount of energy the extent of soft-tissue injury and the extent of contamination for determination of fracture severity.
Table 2 From Open Tibial Shaft Fractures I Evaluation And Initial Wound Management Semantic Scholar
Orthobullets Definitive Grading Of Open Fractures Is Facebook
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