Compound Fracture Management | Ganesh Ortho Trauma & Medical Centre

Ganesh Ortho Trauma & Medical Centre

Management of Compound Fracture

Management of Compound Fracture

When the fracture is communicating with outside through a wound it is known as compound fracture. The wounds size vary from punctured wound to big wounds of few cms to few inches with skin ± muscle/bone loss. The treatment planned according to wound type, fracture configuration & time lag between injury & reaching to hospital. Apart from standard wound care techniques, the fracture is also stabilized. The fracture treatment is designed in a manner that wound care can be taken care of simultaneously. Such fractures are highly prone for infection & consequent osteomylelitis. The methods used to manage fracture are :-

  1. Very early open reduction & internal fixation, preferably with in hours of injury.
  2. The internal fixation is delayed for few days till it becomes clear that locally there is no potential infection.
  3. Provisional stabilization with external fixator & definitive treatment of fracture after complete wound healing.