Paracelsus Medizinische Privatuniversität (PMU)

Forschung & Innovation
Publikationen

Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

#2024
#INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

PMU Autor*innen
Christian von Rüden, Peter Augat, Simon Hackl

Alle Autor*innen
Christian von Rüden, Johannes Wunder, Christoph Schirdewahn, Peter Augat, Simon Hackl

Fachzeitschrift
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

Kurzfassung

The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.

Keywords

Humans, FRACTURE, Wound Healing, ANTIBIOTICS, LESION, Fracture Fixation, Soft Tissue Injuries/complications, Debridement/methods, Fractures, Open/complications, Anti-Bacterial Agents/therapeutic use, Fractures, Closed/complications, Surgical Wound Infection/prevention & control, Soft Tissue Infections/therapy, Gustilo and Anderson classification, Fracture-related infection (FRI), Negative pressure wound therapy (NPWT), Soft tissue damage