Open Fracture

PRESENTED BY:
YOHANES SATRIO, S.KED

ADVISOR:
DR. NUR KHOLIS, SP.OT
 Fracture

A fracture is a break in the structural continuity of

bone
Fractures result from: (1) injury; (2) repetitive stress;
or (3) abnormal weakening of the bone (a
‘pathological’ fracture).
 Open Fracture

Classification of open fracture by Gustilo

Type I
Type II
Type III : IIIA, IIIB, IIIC
 Essensial principles of open fracture

Antibiotic prophylaxis.
Urgent wound and fracture debridement.
Stabilization of the fracture.
Early definitive wound cover.
 Antibiotic Prophylaxis

In most cases co-amoxiclav or cefuroxime (or

clindamycin if penicillin allergy is an issue) is given
as soon as possible, often in the Accident and
Emergency department
 Debridement

Wound excision
Wound extension
Delivery of the fracture
Removal the devitalized tissue
Wound cleansing
Nerve and tendons
Wound extension
Wound Closure
 Stabilization of the fracture

Important to reducing the likelihood of infection and

assisting recovery of soft tissue
Complication
 Aftercare

The limb is elevated

Circulation carefully watched
Thank You