Open fractures with soft-tissue loss: Coverage options and timing of surgery.

Coles, Chad P · OTA Int · 2020

review · Level V

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Abstract

Open fractures with soft-tissue loss remain challenging injuries to treat. These often high-energy fractures are at a higher risk of delayed healing and at much higher risk of infection than open fractures with less significant soft-tissue injury. The initial management of the open wound, flap coverage options, and the timing of definitive coverage all remain areas of controversy, which will be discussed in this article.