The Ewha Medical Journal
Ewha Womans University School of Medicine
Review Article

Management of Open Fractures

Ki Hong Choi
Corresponding author: Ki Hong Choi. Department of Orthopaedic Surgery, Ewha Womans University College of Medicine, Korea.

Copyright ⓒ 1979. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015


The basic principles and practical application of open fracture managements are discussed. The main aims of open fracture treatment are the control of shock as a life saving procedure and prevention of infection of the wound. The complete debridement of the wound is the one way to prevent infection, however, the trouble some problems are soft tissue closure and hardware implant for the fracture fixation. Skin closure including other soft tissues should be made primarily or as soon as possible in behalf of control infection but in secure state of the wound. The implant for the fixation of fracture should be limited for prevention of further infection of the wound. Multiple threaded pins and external fixation such as Hoffmann or Denham fixture are recommended for the open fracture treatment effectively. Systemic administration of properly selected anti-biotics are essential for the control of infection because of the all open fractures are contaminated at the time of injury.