Soft tissue management of open fractures: Update 2016
Trauma und Berufskrankheit, ISSN: 1436-6282, Vol: 18, Issue: 1, Page: 16-21
2016
- 2Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
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Article Description
Background: Open fractures continue to be a challenge to orthopedic trauma surgeons and controversies with respect to best clinical practice are common. Meticulous management of soft tissue damage is of particular importance to achieve the optimal course; however, many treatment protocols lack evidence-based data. Methods: The authors performed a critical review of the literature involving recommendations on the management of soft tissue damage in open fractures. Studies were selected based on their relevance to clinical treatment of open fractures. Results: A total of 29 studies were included. The review focused on timing of initial débridement, time until wound closure, utilitization of negative pressure wound therapy (NPWT), the necessity for plastic surgery and and administration of antibiotics in the therapy of open fractures. Conclusion: Open fractures require urgent debridement. Timely wound closure dependent on successful removal of all necrotic tissue decreases the rate of complications. A calculated short-term administration of antibiotics is essential to avoid infections. Finally, despite the utmost importance of NPWT in the treatment of wounds associated with open fractures, flap coverage of tissue defects remains an integral component of the limb salvage algorithm.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84960105362&origin=inward; http://dx.doi.org/10.1007/s10039-016-0124-y; http://link.springer.com/10.1007/s10039-016-0124-y; http://link.springer.com/content/pdf/10.1007/s10039-016-0124-y; http://link.springer.com/content/pdf/10.1007/s10039-016-0124-y.pdf; http://link.springer.com/article/10.1007/s10039-016-0124-y/fulltext.html; https://dx.doi.org/10.1007/s10039-016-0124-y; https://link.springer.com/article/10.1007/s10039-016-0124-y
Springer Science and Business Media LLC
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