Blog Elements – Page 43 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page:4-6 | Dheenadhayalan Jayaramaraju, Raja Bhaskara Rajasekaran, Devendra Agraharam, Ramesh Perumal. doi-10.13107/ti.2018.v04i01.056 Author: Dheenadhayalan Jayaramaraju [1], Raja Bhaskara Rajasekaran [1], Devendra Agraharam [1], Ramesh Perumal [1]. [1] Department of Orthopaedics & Trauma Ganga Medical Centre & Hospitals Pvt. Ltd, 313, Mettupalayam road, Coimbatore, India […]

Editorial – Open Fracture of Lower Limb Symposium

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page:3 | Dr. S. Rajasekaran doi-10.13107/ti.2018.v04i01.055 Author: S Rajasekaran [1], [1] Department of Orthopaedics, Trauma & Spine Surgery Ganga Hospital, 313, Mettupalayam road, Coimbatore, India. Address of Correspondence Dr. S Rajasekaran, Director & Head of Dept, Department of Orthopaedics, Trauma & Spine Surgery, Ganga Hospital, 313, Mettupalayam […]

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Editorial – Open Fracture of Lower Limb Symposium

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Full Sized Blog Element (Big Preview Pic)

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page:4-6 | Dheenadhayalan Jayaramaraju, Raja Bhaskara Rajasekaran, Devendra Agraharam, Ramesh Perumal.

doi-10.13107/ti.2018.v04i01.056

Author: Dheenadhayalan Jayaramaraju [1], Raja Bhaskara Rajasekaran [1], Devendra Agraharam [1], Ramesh Perumal [1].

[1] Department of Orthopaedics & Trauma Ganga Medical Centre & Hospitals Pvt. Ltd, 313, Mettupalayam road, Coimbatore, India

Address of Correspondence
Dr. Raja Bhaskara Rajasekaran,
Ganga Hospital, Mettupalayam road,Coimbatore, India
Email: rajalibra299@gmail.com

Abstract

Primary management of open injuries is of utmost importance as it has direct implication on the functional outcome. Strict adherence to the ATLS protocol followed by appropriate splintage of the limb must be done. While antibiotics need to be given within 3 hours since injury, wound lavage and wound cultures have no role. Documentation and adequate counselling regarding the complications also needs to be done while managing every case of open injury.
Keywords: Open injury, antibiotic prophylaxis, wound lavage, limb splintage

References

1. Dabezies EJ and D’Ambrosia RD. Treatment of the multiply injured patient: plans for treatment and problems of major trauma. Instructional course lectures 1984; 33: 242-52.
2. Hoff WS, Reilly PM, Rotondo MF, DiGiacomo JC, and Schwab CW. The importance of the command-physician in trauma resuscitation. The Journal of trauma 1997; 43: 772-7.
3. Initial Management of Open Fractures. (Book Chapter) S. Rajasekaran et al. Rockwood and Green’s Fractures in Adults. Eigth Edition. Vol 1 :353-396.
4. Kreder HJ and Armstrong P. The significance of perioperative cultures in open pediatric lower-extremity fractures. Clinical orthopaedics and related research 1994: 206-12.
5. Lee J. Efficacy of cultures in the management of open fractures. Clinical orthopaedics and related research 1997: 71-5.
6. Gosselin RA, Roberts I, Gillespie WJ. 2004: Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev; Issue 1: Cd003764.
7. BAPRAS Guidelines: Standards for management of open fractures of the lower limb. 2009

How to Cite this article: Dheenadhayalan J, Rajasekaran R B, Agraharam D, Ramesh Perumal R. Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines. Trauma International May -Aug 2018;4(1):4-6.

(Abstract Text HTML) (Download PDF)

Editorial – Open Fracture of Lower Limb Symposium

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page:3 | Dr. S. Rajasekaran

doi-10.13107/ti.2018.v04i01.055

Author: S Rajasekaran [1],

[1] Department of Orthopaedics, Trauma & Spine Surgery Ganga Hospital, 313, Mettupalayam road, Coimbatore, India.

Address of Correspondence
Dr. S Rajasekaran,
Director & Head of Dept, Department of Orthopaedics, Trauma & Spine Surgery, Ganga Hospital, 313, Mettupalayam road, Coimbatore, India.
Email: rajasekaran.orth@gmail.com

Editorial: Open Fracture of Lower Limb Symposium

The management of open fractures of lower limbs present special challenges as they have increased chances of infection, number of surgical procedures, a high rate of complications, huge cost of treatment and very often a poor functional outcome. The treating surgeon is often faced with many difficulties in decision making, starting from the ability of salvage and extending on to the timing of surgeries and the nature of reconstruction of both bone and soft tissue defects. Although salvage is preferable, failed attempts at salvage must be avoided as secondary amputations can lead to huge financial, social, psychological and emotional disturbance to patients and their relatives. Advances in the design of lower limb prosthesis have significantly improved the chances for a painless and functional lower limb and so the result of treatment must be better than what is offered by modern prosthesis.
A thorough knowledge of assessment of these challenging injuries and protocols in management is required. These injuries are often a part of a polytrauma situation and so a team approach is absolutely essential. Tissue damage and loss involve both soft tissues and bone to varying extent and hence an ‘Ortho-plastic’ approach is essential right from the time of debridement. The entire team must be aware of the proper timing of surgery and the sequence of reconstructive procedures as any mis-judgement or faulty decisions can burn bridges and lead to poor outcomes or even amputation.
This volume has a compilation of a few articles summarizing the philosophy of treatment of these injuries at Ganga Hospital. They describe in detail the primary treatment and the sequence of surgical events which will lead to a successful outcome. I am sure that this will be of use to surgeons in training who are involved in the management of these injuries.

How to Cite the article: S Rajasekaran. Open Fracture of lower limb Symposium. Trauma International. May-Aug 2018;4(1):3.

(Abstract Text HTML) (Download PDF)

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

Editorial – Open Fracture of Lower Limb Symposium

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

Editorial – Open Fracture of Lower Limb Symposium

Full Sized Blog Element (Big Preview Pic)

Primary Management and Antibiotic Prophylaxis in Open Injuries of the Lower Limb: Current guidelines

Author: Dheenadhayalan Jayaramaraju [1], Raja Bhaskara Rajasekaran [1], Devendra Agraharam [1], Ramesh Perumal [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

Editorial – Open Fracture of Lower Limb Symposium

Author: S Rajasekaran [1],

Editorial: Open Fracture of Lower Limb Symposium

Contact

Important Links

LICENSE