An Overview of Physiotherapy Intervention on Prevention and Management of Open Fractures - A Literature Review

Study Design: A literature review was conducted in order to provide an overview of physiotherapy intervention on prevention and management of open fractures. Objectives: In addition to determining the issue and choosing the best approach to decrease or get rid of the source of the loss of movement, this research will review the key functions of physiotherapy in relation to fractures. It is still debatable whether open fractures should be treated with irrigation and debridement (I&D) within six hours after the injury. Materials and Methods: A narrative of the literature was performed by 21 articles with actual content based on relevant articles that were identified by a hard copy textbook, engines such as SCIENCE DIRECT, PUBMED, GOOGLESCHOLAR, ORTHOINFO and COCHRANE DATA BASE OF SYSTEMATIC REVIEW (www.cochrane.org),and CINALE. Website like physiopedia (www.physiopedia.com) was searched and published texts were `also reviewed in these studies. Results: For rapid primary wound closure in gustilo-anderson grade 1, 2, and 3 An open fracture, infection rates of 2 to 3 percent have been documented. When primary wound closure was attained for Gustilo-Anderson grade 3 B, complete wound healing, bone consolidation, and no need for secondary surgery were reported in 86.7% of cases. Conclusion: The most frequent open fractures are tibial, phalangeal, forearm, ankle, and metacarpal. Open fractures have a high rate of morbidity and mortality. All patients with open fractures require coverage for antibiotics and current tetanus injections. Optimal outcomes will result from early surgical care with involvement from plastic and vascular surgery as needed.