The role of early internal fixation in the management of open fractures.

@article{Chapman1979TheRO,
  title={The role of early internal fixation in the management of open fractures.},
  author={Michael W. Chapman and Michael Mahoney},
  journal={Clinical orthopaedics and related research},
  year={1979},
  volume={138},
  pages={120-31}
}
A series of 101 victims of multiple trauma and open fractures were treated by early open reduction and internal fixation. Some of the fractures included associated vascular injury. Some of the patients had extensive intraarticular fractures. Femur fractures in the elderly were included. All wounds were left open. In 94 patients, the early infection rate was 1.9% in small clean open (type I) wounds, 8% in large open (type II) wounds, and 41% in extensively contused large open (type III) wounds… CONTINUE READING

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