| A large challenge for orthopaedic surgeons is the management of open fractures because it involves not only treating the
contaminated soft tissues of the skin, muscles and neurovascular structures, but also treating the contaminated fracture
underneath. It is possible to solve many problems with primary internal fixation if it is done correctly. A fracture treated
with internal fixation remains in a good position, making it easier and more effective to treat soft tissue injuries. A study
involving 10 patients with skeletal maturity was conducted. A study of all open fractures occurring within 12 hours of
trauma was carried out. A splint was then applied to the injured part in order to prevent further damage from being caused
by the displacement of fracture fragments. In the operating room, wounds were debrided under aseptic conditions before
internal fixation. According to the results, 30% of Grade I cases showed good soft tissue healing. Within the first four
months of diagnosis, two cases of grade I united of the upper limb. During the past six months, there was one grade III case
of upper limb union. Within a 5-month period, three of the 6 cases of lower limb unions were united, and four were united
within a 6-month period, out of 6 cases altogether. There was one case of a grade III fracture of the tibia that showed
delayed union, in which bone grafting was required. Based on the study, we conclude that early rehabilitation and skilled
management of the injured limb are key to a successful compound fracture treatmentddd |
