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Fractures ouvertes de la diaphyse tibiale chez l'adulte: prise en charge chirurgicale et complications

Published in Revue médicale suisse. 2011, vol. 7, no. 322, p. 2482,2484-8
Abstract Open tibial shaft fractures represent high-energy trauma and are associated with a substantial risk of complications. Management is an emergency, and the first steps in treatment include antibiotic prophylaxis, tetanus booster, surgical debridement, irrigation of the wound and stabilization of the fracture. The Gustilo and Anderson classification helps to guide definitive treatment. Intramedullary nailing is the surgical technique of choice. An indirect approach utilizing external fixation is recommended for Gustilo IIIB and IIIC fractures. The most prevalent complications are compartment syndrome (10%), infection (2%-40% without antibiotics according to Gustilo grading, most notably in the presence of vascular lesions), aseptic nonunion (23%), venous thromboembolism (60% without prevention) and anterior knee pain (>50%).
Keywords AdultFractures, Open/surgeryHumansPostoperative CarePostoperative Complications/therapyPreoperative CareTibial Fractures/surgery
PMID: 22288287
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Other version: http://rms.medhyg.ch/
Research groups Chirurgie orthopédique et traumatologique (98)
Glycopeptide résistance (28)
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KOHLPRATH, Raphaël et al. Fractures ouvertes de la diaphyse tibiale chez l'adulte: prise en charge chirurgicale et complications. In: Revue médicale suisse, 2011, vol. 7, n° 322, p. 2482,2484-8. https://archive-ouverte.unige.ch/unige:24747

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Deposited on : 2012-12-19

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