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Year : 2018  |  Volume : 52  |  Issue : 5  |  Page : 470-480

Optimizing management of open fractures in children

1 Department of Paediatric Orthopaedics, KUMC GURO Hospital, Seoul, Korea
2 Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi, India
3 Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Akshat Sharma
15, Nav Vikas Apartments, Sector – 15, Rohini, New Delhi - 110 089
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ortho.IJOrtho_319_17

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Open fractures in children differ from adults owing to their better healing potential. Management strategies for open fracture in children are changing with improvement in our understanding of soft-tissue reconstruction and fracture fixation. A literature review was performed for articles covering management of open fractures in children. The cornerstones of management include prevention of infection, debridement, and skeletal stabilization with soft-tissue coverage. The injury should be categorized according to the established trauma classification systems. Timely administration of appropriate antibiotics is important for preventing infections. Soft-tissue management includes copious irrigation and debridement of the wound. Fractures can be stabilized by a variety of nonoperative and operative means, taking into consideration the special needs of the growing skeleton and the role of a thick and active periosteum in the healing of fractures. The soft-tissue coverage required depends on the grade of injury.

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