An overview of open fracture management

Abstract

Open fractures are complex and potentially limb-threatening injuries. Early, systematic and thorough treatment of all fractures can reduce the risk of life-changing consequences, regardless of injury severity. In the UK, national guidelines have been established to standardize care and improve outcomes. The recent adoption of the multidisciplinary orthoplastics approach focuses on the key management principles of reducing infection risk, skeletal stabilization and timely soft tissue coverage. These principles encompass multiple aspects of care, starting from standardized trauma care at the time of injury, to the complex management of potential critical-sized bone defects. These injuries and their consequences can also lead to significant psychological distress. Therefore, recognizing and addressing this is vital in providing holistic care for the patient. This review aims to summarize the current management of open fractures and explore the evidence surrounding these aspects of care.