Standards for the Management of Open Fractures

Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence.

The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care.

The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care.

Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.

Contents

1:Pre-hospital, antibiotics and accident and emergency
2:Timing of wound excision
3:Wound excision
4:Degloving injuries
5:Temporary dressings
6:Skeletal stabilisation
7:Timing of soft tissue reconstruction
8:Soft tissue reconstruction
9:Bone loss
10:Vascular injuries
11:Compartment syndrome
12:Amputation
13:Infection
14:Open fractures in children
15:Open fragility fractures
16:Outcome measures
17:Patient experience of open fracture and psychological support
18:Rehabilitation
19:Blast injuries and mass casualties
20:Setting up an orthoplastic service
21:NICE Recommendations relevant to open fractures

Simon Eccles, Consultant Plastic Surgeon, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK, Bob Handley, Consultant for Trauma and Orthopaedic Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK, Umraz Khan, Consultant Plastic Surgeon, Orthoplastic Surgery, North Bristol NHS Trust, Bristol, UK, Iain McFadyen, Consultant Orthpaedic Trauma Surgeon, Orthopaedic Department, Royal Stoke University Hospital, Stoke-on-Trent, UK, Jagdeep Nanchahal, Professor of Hand, Plastic & Reconstructive Surgery, Oxford University Hospitals, Oxford, UK, and Selvadurai Nayagam, Consultant Orthopaedic Surgeon, Royal Liverpool Children's Hospital and Royal Liverpool and Broadgreen University Hospital, Liverpool, UK