Primary Wound Closure in the Treatment of Open Fractures of Lower Limb in Al-Sawfwa Hospital, Taiz City-Yemen

Abdullah Ghazi Abdul Alhaleem Abdulla1*, Saeed Mohamed Abdo-Alzager1, Anwer Naif1

1Orthopedic Department, Medical Faculty, Taiz University

Introduction:

The management of open fracture remains a challenging problem for treating orthopedics and may lead to serious complications of infection, soft tissue injury, and nonunion.1. The main goals of an open fracture of lower limb management are fracture stabilization, fracture healing, wound debridement, irrigation, and restoration of function.2 The optimal management depend on the timing of closure of the fracture and surgical wounds, extent of the initial injury, severity and degree of wound contamination. Based on reviewed published literature,

timely adequate debridement, no skin loss, normal perfusion, intact sensation, local conditions allow stable skeletal fixation and bleeding skin margins closed by direct apposition under no tension are all widely accepted safe criteria for primary wound closure3,4,5. Infection and nonunion are the most common sequel of open fractures and is clearly related to the severity of the associated soft tissue injury. The timing of closure of the wound in open fractures remains controversial.1,6-9 Several classification systems of open fractures including Gustilo & Anderson serve as effective management of open fractures.

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