Abstract
Requires joint and simultaneous orthopaedic and plastic surgical management to achieve the best outcome. Amputation can be a good reconstructive option. Recognition Treat as a polytrauma using ATLS guidelines. Primary then secondary survey to identify and manage injuries. Initial evaluation and treatment may have to occur simultaneously. External bleeding should be managed with direct pressure.
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Further Reading
Gustillo RB, Anderson, JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: Âretrospective and prospective analyses. J Bone Joint Surg. 1976:453–458.
Byrd HS: Management of open tibial fractures. Plast Reconstr Surg. 1985;76(5):719–30.
Godina M: Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 1986; 78: 285–92.
Nanchahal J et al: Management of Open Fractures of the Lower Limb. Royal Society of Medicine Press. 2009. Short Guide - http://www.bapras.org.uk/downloaddoc.asp?id=141.
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Hettiaratchy, S., Jain, A., Simmons, J. (2012). Lower Limb Trauma. In: P. Hettiaratchy, S., Griffiths, M., Ali, F., Simmons, J. (eds) Plastic Surgery. Springer, London. https://doi.org/10.1007/978-1-84882-116-3_18
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DOI: https://doi.org/10.1007/978-1-84882-116-3_18
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