surgical timing

Management

Definition

 

Tibial facture with break in skin

- open wound communicating with fracture or haematoma

 

Patient is immediately at higher risk of deep infection

 

Diagnosis

 

Wound continuously oozes dark red fracture haematoma

 

Epidemiology

 

Up to 1/4 of tibia fractures open

 

Gustilo and Anderson Classification

 

Grade 1

- wound < 1cm

- usually inside out