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The Treatment of Closed Fractures with Soft Tissue Injuries

  • H. Tscherne
  • M. Rojczyk

Abstract

Increasingly, closed fractures with associated soft tissue injuries are presenting the attending physician with difficult decisions in terms of diagnosis and management (Tscherne, Brügge-mann 1976; Weiss et al. 1978). The soft tissue trauma is usually more difficult to evaluate than in open fractures, often causing the surgeon to underestimate the true extent of the damage. A full-thickness skin contusion is a more serious injury than the simple skin perforation characteristic of open fractures. Skin necrosis leading to secondary infection is a typical complication of the closed injury. Even in the absence of full-thickness necrosis, the contusion can disrupt the integrity of the cutaneous barrier, rendering it permeable to bacteria.

Keywords

Compartment Syndrome Open Fracture Soft Tissue Injury Soft Tissue Damage Closed Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Tscherne H, Brüggemann H (1976) Die Weichteilbehandlung bei Osteosynthesen, insbesondere bei offenen Frakturen. Unfallheilkd 79: 467Google Scholar
  2. Weiss H, Wissing H, Schmit-Neuerburg KP (1978) Komplikationsrate und Infektrisiko offener und geschlossener Unterschenkelbrüche mit Weichteilschaden. Akt Traumatol 8: 329Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • H. Tscherne
  • M. Rojczyk

There are no affiliations available

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