Open Fractures

Left: P-A film of an open distal and middle phalanx fracture of the left middle finger; Right: open tibial (+/- fibular) fracture of the right lower leg.

About the podcast

In this episode Miss Juliana Hughes, Consultant Plastic Surgeon, with special interest in orthoplastics, and Miss Clare Taylor Consultant Orthopaedic Surgeon lead us through the management of open fractures.

Discussions around critical steps in managing these types of injuries, the “do’s and don’t’s” of management of open fractures in the pre-hospital and emergency room setting, onto timelines for definitive management.

See the show notes for NICE and BOA (British Orthopaedic Association) guidelines. Don’t forget to listen to this along with our podcast on pelvic trauma.

Open Fractures – ThePTN podcast

Miss Juliana Hughes, Consultant Plastic Surgeon and Miss Clare Taylor Consultant Orthopaedic Surgeon lead us through the orthoplastics management of open fractures. "Do's" and "Don'ts" of open fracture management from field to Resus, the importance of timelines and an understanding of how energy transfer are key topics discussed.

Links:

Standards for the Management of Open Fractures; NICE Recommendations Relevant to Open Fractures (Published Aug 2020): here

Fractures (complex): assessment and management; NICE guideline [NG37]Published: 17 February 2016 Last updated: 13 November 2017: here

BOAST (British Orthopaedic Association Standard for Trauma and Orthopaedics) – Open Fractures (Published Dec 2017): here

The PTN podcast on Pelvic trauma here.

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Case courtesy of Dr Samir Benoudina, Radiopaedia.org. From the case rID: 23719
Image from Open Fractures Management, Orthobullets: https://www.orthobullets.com/trauma/1004/open-fractures-management