An open fracture, also called a compound fracture, is a fracture in which there is an open wound or break in the skin near the site of the broken bone. Most often, this wound is caused by a fragment of bone breaking through the skin at the moment of the injury.
An open fracture requires different treatment than a closed fracture, in which there is no open wound. This is because, once the skin is broken, bacteria from dirt and other contaminants can enter the wound and cause infection. For this reason, early treatment for an open fracture focuses on preventing infection at the site of the injury. The wound, tissues, and bone must be cleaned out in a surgical procedure as soon as possible. The fractured bone must also be stabilized to allow the wound to heal.
The severity of an open fracture depends upon several factors, including:
The size and number of the fracture fragments
The damage to surrounding soft tissues
The location of the wound and whether the soft tissues in the area have good blood supply
Almost all open fractures are treated in the operating room. It is important to go to surgery as soon as possible so that the open wound can be cleaned out to help prevent infection.
Once the wound has been cleaned, the doctor will evaluate the fracture and stabilize the bones. Open fractures are treated with either internal or external fixation.
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An open fracture requires different treatment than a closed fracture, in which there is no open wound. This is because, once the skin is broken, bacteria from dirt and other contaminants can enter the wound and cause infection. For this reason, early treatment for an open fracture focuses on preventing infection at the site of the injury. The wound, tissues, and bone must be cleaned out in a surgical procedure as soon as possible. The fractured bone must also be stabilized to allow the wound to heal.
The severity of an open fracture depends upon several factors, including:
The size and number of the fracture fragments
The damage to surrounding soft tissues
The location of the wound and whether the soft tissues in the area have good blood supply
Almost all open fractures are treated in the operating room. It is important to go to surgery as soon as possible so that the open wound can be cleaned out to help prevent infection.
Once the wound has been cleaned, the doctor will evaluate the fracture and stabilize the bones. Open fractures are treated with either internal or external fixation.
#医学生Medic##medicaltalks#
Yet another extremely weird urethral foreign body case!
These images are pelvis X-rays of a 17-year-old male who inserted several dozen magnetic balls (buckyballs) into his urethra for pleasure.
An attempt was made to remove the ‘string’ of connected magnetic balls with gentle traction by pulling on the tail-end of the chain (image 1), however the internal collection of balls had conformed to the bulbar urethra, and the chain separated at the meatus, leaving ~50 balls in the urethra (image 2).
The patient was subsequently taken to the OR and each ball was removed via cystoscopy, over a 3hr period.
#医学生Medic##medicaltalks#
These images are pelvis X-rays of a 17-year-old male who inserted several dozen magnetic balls (buckyballs) into his urethra for pleasure.
An attempt was made to remove the ‘string’ of connected magnetic balls with gentle traction by pulling on the tail-end of the chain (image 1), however the internal collection of balls had conformed to the bulbar urethra, and the chain separated at the meatus, leaving ~50 balls in the urethra (image 2).
The patient was subsequently taken to the OR and each ball was removed via cystoscopy, over a 3hr period.
#医学生Medic##medicaltalks#
Heterochromia is when a person’s irises are of different colors. There are a few kinds of heterochromia. Complete heterochromia is when one iris is a different color than the other. When part of one iris is a different color than the rest of it, this is called partial heterochromia. Central heterochromia is when there is an inner ring that is a different color than the outer area of the iris.
fun fact: this is very common in cats.
#医学生Medic##medicaltalks#
fun fact: this is very common in cats.
#医学生Medic##medicaltalks#
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